Ascension Providence Hospital Emergency Medicine

Faculty Contact: Denise Shuttie, MD

Rotation Location: Ascension Providence Hospital, Southfield Campus
                                 Ascension Providence Hospital, Novi Campus

Duration of the Rotation: 4 weeks

Students Per Month: 4

Work Hours: 15 shifts, 8 hours long, no more than 6 days in a row. Morning, afternoon, and night shifts. Students must work at least one shift each week of their scheduled rotation.

Prerequisites: 2 years of medical school; MCE completion for MSUCHM Students; completion of core clerkships for students from other schools

MSUCHM Course #: EM 630

General:  Students rotating on Emergency Medicine at Ascension Providence Hospital will experience the unique aspects inherent in the practice of emergency medicine.  The student is exposed to three type of patients:

  1. Emergent – Patients with life threatening conditions
  2. Urgent – Patients in need of immediate treatment
  3. Non-Emergent – Patients with minor illness or injury   

Student’s time will be distributed as follows:

  • 90%:   Emergency Care
  • 5%:   IV Access, NG Tubes, Foley Catheters,Arterial Punctures, Suturing
  • 5%:   Mobile Life Support Unit, Radio

Goals & Objectives: The student learns to make a rapid evaluation of the patient’s condition, take a pertinent history, and assist in the treatment of the immediate medical problem at hand.  Ordering and interpretation of appropriate lab and x-rays for precise and rapid determination of a treatment plan are stressed; as well as proper referral and follow-up care instructions to the patient. The student actively participates in the evaluation and management of patients with the following medical/surgical disorders: cardiovascular, metabolic, respiratory, neurological, gastrointestinal, thoracic, endocrine, general surgical, infectious disease, orthopedic, obstetrics/gynecologic and psychiatric illnesses.

Skills: The student is instructed in and/or performs:

  1. IV insertion
  2. Suturing of minor lacerations
  3. Advanced cardiopulmonary resuscitation
  4. Endotracheal intubation
  5. Defibrillation
  6. Insertion of temporary pacemakers
  7. Insertion of chest tubes
  8. Slip lamp exam
  9. Spinal taps
  10. Reduction of joints
  11. Replacement of peg tubes
  12. Incision and drainage of abscesses
  13. Central line placement
  14. Ultrasound-guided IVs
  15. Focused assessment with sonography for trauma, abdominal and pelvic ultrasound exams. 

Evaluation:

At the end of the rotation, the Rotation Director will collect data from the supervising physician and other medical team members and complete a written evaluation of the student that is reflective of the student’s academic competence, procedural proficiency and professional attributes. The standard medical school form from the student’s medical school will be used. If required, the student should complete a case log and an evaluation of the rotation and submit them to their medical school.