Emergency Medicine - UTMC/TTH
Title of Clerkship: Emergency Medicine - UTMC/TTH
Elective Year(s): Fourth-Year Elective
Department: Emergency Medicine
Type of Elective: Clinical
Course Site: University of Toledo Medical Center Emergency Department and The Promedica Toledo Hospital
Course Number: ERMD 710
Blocks Available: All
Number of Students/Block: 2 Students
Faculty: Allen Williams, M.D., various EM faculty
Elective Description/Requirements: Students will evaluate and manage Emergency Department (ED) 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, ensure follow-up instructions are being followed, and assist with any problems under guidance of the ED faculty and staff. Students will complete 120 clinical hours in the ED.
Length of Clerkship: 4 Weeks
Links to Core Competencies/Educational Course Objectives: At the end of this elective, the student will be able to:
- Perform histories and physical examinations on a wide variety of patients with variable acuities. (EPOs: PC-1, PC-9)
- Demonstrate and document an accurate history and physical examination. (EPOs: PC-1, PC-9)
- Formulate differential diagnoses, diagnostic interventions, and treatment plans. (EPOs: MK-4, MK-6, PC-7)
- Explain the anatomical, biochemical, and/or physiological reason for an ED patient’s clinical presentation. (EPOs: MK-1, MK-6)
- Interpret EKG, laboratory and radiology studies as applied to patient evaluation and treatment. (EPOs: PC-6)
- Demonstrate professional behavior. (EPOs: MK-3, PB-1, PB-2, PB-3)
- Demonstrate appropriate interpersonal communication with patients, families, physicians, EMS personnel, and ancillary staff. (EPOs: MK-2, MK-3, IPC-1, IPC-2, IPC-3, PB-1, PB-2, PB-3)
- Assess acutely ill patients and develop a plan for immediate stabilization and definitive care by recognizing abnormal vital signs, abnormal physical exams, and interpreting lab data. (EPOs: PC-1, PC-6, PC-8, IPC-2)
- Describe how the evaluation and treatment of specific clinical conditions vary between a patient who presents with an acute condition vs a patient with a chronic condition. (EPOs: PC-7, PC-8)
- Explain the rationale for utilizing a specific consultative service. (EPOs: IPC-2)
- Describe the steps and demonstrate the performance of clinical procedures such as venipuncture, intravenous catheters, urinary catheter placement, laceration repair and nasogastric tube placement. (EPOs: PC-5, PC-6, PC-7)
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:
- Resources: Tintinalli’s EM, Mulford Library/website (UptoDate), Blackboard, ROSH review
- Individual case management with faculty
- Emergency Medicine Lecture and Procedure Lab
- Emergency Medicine Didactic Conferences as scheduled
- Clinical experience - inpatient
Assessment Methods:
- M4 Clinical Elective Assessment - composite evaluation based on daily clinical feedback (40%)
- NBME or Departmental Written Examination (30%)
- Institutionally developed clinical performance (Simulation exam) mock code or equivalent (20%)
- Completion of patient case log (5%)
- Completion of procedure logs (5%)
- Completion of the following are required prior to release of final grade:
- Log of clinical educational hours
- Completion of Blackboard modules
- Participation (Attendance at Conference, Workshops, and ED Clinical shifts)
Prerequisites: Successful completion of third year and 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