Emergency Medicine Acting Internship-LAHEC
Title of Clerkship: Emergency Medicine Acting Internship-LAHEC-Lima
Elective Type: Acting Internship
Department: Emergency Medicine
Clerkship Site: Mercy Health St Rita’s Medical Center
Course Number: ERMD 726
Blocks Available: All- start and end dates flexible
Number of Students/ Block: based on availability
Faculty: Emily Barbee MD; John Meyer, DO; Lawrence Kohn, DO; David Toro, MD; James Chan, MD; Alexander Bobrov, DO; Gregory Griffin, DO; Edwin McMillan, DO (other faculty as required) Erin Rinto MD
Elective Description/ Requirements:
The student will become a part of the emergency team whose members handle all phases
of emergency patient management ranging from triage to final disposition. Students
will evaluate and manage Emergency Department patients under the direct supervision
of the EM faculty. Students will perform history and physical examinations, document
findings in the medical record, order appropriate diagnostic and therapeutic interventions,
assess response to therapy and determine appropriate patient dispositions. Students
will conduct follow-up communications with select patients to assess short- term response
to therapy and to ensure follow-up instructions are being followed and assist
with any problems under guidance of ED faculty and staff. Acting Internship students
will be required to adhere to and be able to show competency in the Emergency Medicine
Student Milestones which will prepare students interested in EM as a specialty to
the Milestones used by ER residency. Students will be responsible for presenting a
topic of choice during 1 EM lecture session. Students will complete 120 clinical hours in the ED.
Length of Clerkship: 4 weeks
Educational Course Objectives and Links to EPOs:
- Obtain a focused developmentally appropriate biomedical and psychosocial story of the patients’ illness in the acute care setting. (EPOs: MK-1, MK-4, MK-6, MK-7, PC-1, PC-2, PC-5)
- Perform a physical exam that is focused on the patients’ acute problem. (EPOs: MK-1, MK-4, MK-6, MK-7, PC-1, PC-2)
- Demonstrate the ability to communicate with patients, families, physicians, EMS personnel and ancillary staff. (EPOs: MK-1, PC-1, PC-4, PC-5, PC-9, PB-1, PBL-3, IPC-1, SBP-4, SBP-5, IPC-2)
- Interpret diagnostic tests that are pertinent to the acute care setting. (EPOs: MK-1, MK-2, MK-3, PC-1, IPC-1, IPC-2)
- Perform basic emergency medicine procedures, including incision and drainage. (EPOs: PC-5, PB-1, IPC-3)
- Demonstrate the ability to care for acute injuries. (EPOs: PBL-1, PBL-3, SBP-3, SBP-4)
- Formulate management strategies, which are consistent with the acuity of the illness as well as the patient’s interests, needs, and preferences. (EPOs: PC-3, PC-5, PB-1, PB-3, PBL-2, SBP-1, SBP-2, SBP-4, SBP-6, MK-5, MK-8)
- Demonstrate the ability to triage acute medical conditions in a timely manner. (EPOs: PC-3, MK-1, MK-5, PC-6, PC-7, PC-8)
- Demonstrate appropriate utilization of professional consultations in the acute care setting. (EPOs: MK-1, PC-6, PC-7, PC-8, SBP-1, SBP-5)
- Formulate safe and appropriate dispositions for a wide range in clinical conditions germane to the practice of Emergency Medicine. (EPOs: MK-1, PC-1, PC-6, PC-7, PC-8, IPC-1, SBP-5)
- Present clinical information, both in the verbal and written format, in a concise and coherent manner. (EPOs: MK-1, PC-4, PC-7, PC-9, IPC-1, IPC-2, IPC-3, SBP-5)
Professionalism: UTCOMLS 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:
- Individual case management with faculty.
- Procedure lab
- Emergency Medicine didactic conference.
- Direct observation and interaction by faculty
- Resources: Tintinalli’s EM, Mulford Library/website (UptoDate), Rosh Review, EM Clerkship guide, Blackboard.
Assessment Methods:
- Summative Acting Internship competency assessment at the end of clerkship.
- Faculty/Resident direct observation of clinical skills.
- Professionalism
- Attendance at Conference, Workshops, and ED clinical shifts as scheduled by site.
- Presentation and Lecture at ED conference- Any ED topic (45-60 minute)
- Assessment of patient case logs and procedure logs, and hours.
- Final exam and course evaluation per institution.
- Final grade submitted by institution in competency assessment at the end of clerkship.
Prerequisites: Successful completion of third year and a passing USMLE Step 1
Clerkship Director: Allen Williams, MD
Clerkship Coordinator: Amy Blevins
Phone Number: 419.383.6318
Email: Amy.Blevins@utoledo.edu
AHEC Office Contact: Roni Kaufman, M.Ed
Phone Number: 419.226.9450
Email: limaahec@outlook.com
ECC Approved
June 2025