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College of Medicine MD Curriculum

Emergency Medicine Required - UTMC

Title of Course: Emergency Medicine (EM)

Elective Year(s): Fourth-Year Elective

Department: Emergency Medicine

Type of Elective: Clinical

CourseSite: University of Toledo Medical Center Emergency Department

Course Number: ERMD 709

Blocks Available: All

Number of Students/Block: 2 Students

Faculty: Allen Williams, M.D., various EM faculty

Elective Description/Requirements: During this required rotation, students will hone skills in the rapid evaluation and assessment of undifferentiated patient complaints. Students will become efficient at identifying and stabilizing critically ill and injured patients. During these 2 weeks, each student will work 64 clinical hours in the ED. Students will evaluate and manage Emergency Department patients under the direct supervision of EM faculty and residents. Students will obtain an accurate and complaint-directed medical history and physical examination for each patient encounter and develop a differential diagnosis for these presentations. Students will present cases in a clear, concise, and organized fashion and appropriately document such information. Students will become proficient at communicating their clinical impression and adequately interpret commonly performed diagnostic studies used in the Emergency Department.

Length of Clerkship: 2 Weeks

Links to Core Competencies/Educational Course Objectives: At the end of this elective, the student will be able to:

  1. Document an accurate history and physical examination. (EPOs: MK-4, PC-1)
  2. Present patient care plans that include differential diagnosis, diagnostic, and treatment plans. (EPOs: MK-4, MK-7, PC-6, PC-7, PC-8)
  3. Describe the underlying pathophysiology of clinical conditions that are seen in the ED. (EPOs: MK-4, MK-6, MK-7)
  1. Explain how results from EKG, laboratory and radiology studies will impact a patient’s diagnosis. (EPOs: MK-4, PC-6)
  2. Demonstrate professionalism by being punctual and respectful of the ED team. (EPOs: MK-2, MK-3, PB-1, PB-2, PB-3)
  3. Explain how a patient’s cultural beliefs will impact how a provider communicates with the patient and/or his/her family. (EPOs: MK-1, MK-2, MK-3, IPC-1, IPC-2, IPC-3, PB-1, PB-3)
  4. Communicate a plan for immediate stabilization, assessment, and definitive care of acutely ill patients to entire treatment team including EMS personnel. (EPOs: PC-8; IPC-2)
  5. Describe how to prioritize patients who present to the emergency department with acute conditions. (EPOs: MK-6, PC-6, PC-7, PC-8)
  6. Explain the reason for obtaining a consultation and/or why a patient requires admission. (EPOs: PC-6, PB-1, PB-3, SBP-3)
  7. Perform a multitude of procedures as patient presentation allows including-venipuncture, intravenous catheter placement, urinary catheter placement, laceration repair and nasogastric tube placement. (EPOs: PC-5, PC-7, PBL-1, PBL-2, PB-3)

Professionalism: UT/COM students will meet or exceed the institutional standards for professionalism as stated in the current Educational Program Objectives and the current Educational Course Objectives for the Sponsoring Department.

Instructional Methods:

  1. Resources: Tintinalli’s EM, Mulford Library/website (UptoDate), Blackboard resources
  2. Inidividual case management with faculty
  3. Patient presentation to faculty/residents
  4. Emergency Medicine Lecture and Procedure Lab
  5. Emergency Medicine Didactic Conferences as scheduled
  6. Clinical experience -inpatient

Assessment Methods:

  1. M4 Clinical Elective Assessment - composite evaluation based on daily clinical feedback (40%)
  2. Final Written Examination (30%)
  3. Mock code or equivalent (20%)
  4. Completion of patient case log (5%)
  5. Completion of procedure log (5%)
  6. Completion of the following are required prior to release of final grade:
    1. Log of clinical educational hours
    2. Completion of Blackboard modules
    3. Pariticpation (Attendance at Conference, Workshops, and ED Clinical Shifts)

Prerequisites: Successful completion of third year and a passing USMLE Step 1 score.

Course Director: Allen Williams, MD

Course Coordinator: Amy Blevins
Phone Number: 419-383-6318
Email: Amy.Blevins@utoledo.edu

Special Requirements: None

ECC Approved
April 2026

Last Updated: 5/12/26