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Department of Emergency Medicine
ERMD 401 Emergency Medicine, UNC/ Wake Medical Center
Faculty: Kevin Biese, M.D.
Prerequisites: Completion of clinical clerkships
Offered: All elective periods
Max. Enrollment: 6
Duration: One elective period
Meeting Place: (See notes section)
Credit Hours: 6
Learning Objectives: 1) Utilize the skills of patient history and physical diagnosis to diagnose and mange acute care conditions in the undifferentiated ED patient.
2) Develop accurate and succinct communication skills for oral presentations and consultations which provide comprehensive information transfer in the ED setting.
3) Integrate evidence-based medicine practices into the routine diagnosis and management of patients in the ED.
4) Gain proficiency in the basic procedures required for the management of acutely ill or traumatized patients. Such procedures include, but are not limited to, arterial puncture, suture placement, BVM ventilation, and central line placement.
5) Develop an awareness of the complex ethical issues involving the practice of emergency medicine.
6) Continue to develop professionalism and ethical principles in caring for patients and relating to patients families and others involved in patient care.
This rotation will teach the student to evaluate, treat, and determine appropriate disposition for a wide variety of emergency conditions, including trauma. Students independently evaluate a wide variety of acute presenting complaints and develop a differential diagnosis, evaluation, and treatment plan.

This rotation will teach the student to evaluate, treat and determine appropriate disposition for a wide variety of emergency conditions, including trauma. Students independently evaluate a wide vareity of acute presenting complaints and develop a differential diagnosis, evaluation and treatment plan.
Learning Activities: Students will participate in:
1) A minimum of 13 nine-hour clinical shifts in the ED. Each student will have clinical experiences at both UNC and Wake Medical ED.
2) Eight hours of weekly didactic conferences.
3) Learning workshops, held daily (as the student's clinical schedule permits).
4) Direct observation experience with a full history and physical exam.
5) One eight-hour Orange County EMS ride-along experience.
6) Evidence-based review of medical literature in conjunction with emergency medicine department Journal Club.
Evaluation: Students will be evaluated by:
1) Each attending with whom the student is scheduled to work clinically. This evaluation is completed by the responsible attending.
2) Attendance and participation at conferences, learning workshops and Journal Club
3) Direct observation assessment.
Special Notes: Mandatory Orientation will be held on the first day of the rotation. Students will be advised of reporting time and location via their University issued email prior to rotation. All schedule requests MUST be submitted at least two weeks prior to start of rotation.
Date Updated: 3/14/2008
ERMD 402 Emergency Medicine, Carolinas Medical Center
Faculty: Michael Runyon, M.D., FAAEM
Prerequisites: Completion of all clinical clerkships
Offered: Periods 1, 2, 3, 4, 5, and 6
Max. Enrollment: 8 (coordinates with SURS 403)
Duration: One elective period
Meeting Place: 3rd floor, Medical Education Building, Department of Emergency Medicine office
Meeting Times: 8:00 am
Credit Hours: 6
Learning Objectives: 1. Utilize the skills of patient history and physical diagnosis to diagnose and mange acute care conditions in the undifferentiated ED patient.
2. Develop accurate and succinct communication skills for oral presentations and consultations which provide comprehensive information transfer in the ED setting.
3. Integrate evidence-based medicine practices into the routine diagnosis and management of patients in the ED.
4. Gain proficiency in the basic procedures required for the management of acutely ill or traumatized patients. Such procedures include, but are not limited to, aterial puncture, basic and advanced wound care, airway management and and central line placement.
5. Develop an awareness of the complex ethical issues involving the practice of emergency medicine.

This rotation will teach the student to evaluate, treat, and determine appropriate disposition for a wide variety of emergency conditions, including trauma and pediatric patients. Student will evaluate a wide variety of presenting complaints and and develop a differential diagnosis, and evaluation and management plans. Students will be allowed significant autonomy and independence to develop these skills.
Learning Activities: On some months, senior residents will actively participate in teaching and precepting students.

Students will participate in:
1. A minimum of 15 eight-hour clinical shifts in the ED at Carolinas Medical Center.
2. Daily noon residents' conferences.
3. Student-oriented lectures 5 days/week.
4. Direct observation experience with a full history and physical exam.
5. Hands-on ultrasound experience in the ED.
6. One twelve-hour Mecklenburg County EMS ride-along experience.
Evaluation: Students will be evaluated by:
1. Each attending with whom the student works clinically.
2. Attendance and participation at conferences and student lectures.
3. Direct observation assessment.
4. Oral and written exam at the end of the month.
Special Notes: If you have any questions, please contact the course coordinator, Anita Walker at 704-355-3968 or anita.walker@carolinashealthcare.org
Date Updated: 3/14/2008
ERMD 405 Research Topics in Emergency Medicine
Faculty: Jane Brice, MD, MPH
Prerequisites: Completion of third year
Offered: All elective periods
Min. Enrollment: None
Duration: Minimum of one month
Meeting Place: (see notes section)
Meeting Times: To be arranged with faculty mentor
Credit Hours: 6
Learning Objectives: 1. Understand the scientific method by developing a research question, designing methods, accumulating data and analyzing data
2. Demonstrate familiarity with pertinent current and historical literature
3. Demonstrate ethical research practices
4. Adhere to IRB policies and procedures, including informed consent
5. Demonstrate knowledge of the scientific method within the context of the specified project
6. Apply and demonstrate understanding of appropriate statistical procedures
7. Interact with patients and/or colleagues appropriately
8. Produce a written summary appropriate for a scientific presentation/publication
9. Gain practical experience in the art of scientific presentation
10. Gain practical experience in scientific writing
11. Demonstrate perseverance in execution of project related endeavors
12. Collaborate with other professionals (team members)

This research elective will teach the student the scientific method by developing a research question, designing methods, accumulating data, and analyzing data. Topics available for research include acute care, injury prevention, violence, and EMS systems.
Learning Activities: The student will participate in research seminars, conduct literature searches, collaborate on student or investigator initiated projects.

1. Meet on scheduled basis with faculty mentor.
2. Perform a literature review.
3. Develop a research question in to a protocol
4. Complete the online NIH ethical research training
5. Submit an IRB application and obtain IRB approval
6. Conduct Research protocol
7. Participate in data analysis.
8. Submit abstract to UNC Student Research day and other venues as appropriate.
9. Prepare and submit a manuscript to faculty mentor and other venues as appropriate
Evaluation: The faculty mentor will evaluate the student on the design and execution of the project, including analyses. All members of the research team will contribute to the evaluation of the student's skill in communicating and collaborating as part of a team.
Special Notes: To be arranged with faculty mentor. Student MUST Contact Dr. Brice at least three months prior to the start of the rotation. Dr. Brice can be reached at brice@med.unc.edu
Date Updated: 3/26/2008
ERMD 406 Resuscitation Laboratory Research
Faculty: Larry Katz, MD and Jim Manning, MD
Prerequisites: Completion of third year
Offered: All elective periods
Max. Enrollment: 1
Duration: One elective period
Meeting Place: Ground Floor, Neurosciences Hospital, Emergency Medicine
Meeting Times: To be arranged
Credit Hours: 6
Learning Objectives: 1. demonstrate perseverance in execution of project related endeavors (II)
2. collaborate with other professionals (team members)
3. interact with patients and/or colleagues appropriately (III)
4. exhibit advanced project management and communication (oral and written) skills
5. demonstrate knowledge of the scientific method within the context of the specified project
6. adhere to IRB policies and procedures, including informed consent
7. demonstrate familiarity with pertinent current and historical literature
8. use appropriate methodology as designed in collaboration with the mentor
9. apply and demonstrate understanding of appropriate statistical procedures
10. produce a written summary appropriate for a scientific presentation/publication
11. This elective will teach laboratory techniques of cardiac and cerebral resuscitation research by integrating the student into ongoing projects.

One month of full time research is necessary, with additional independently arranged time if the goal is abstract preparation or presentation
Learning Activities: The student will participate in research seminars, conduct literature searches, collaborate on student or investigator initiated projects.
Evaluation: The faculty mentor will evaluate the student on the design and execution of the project, including analyses. All members of the research team will contribute to the evaluation of the student's skill in communicating and collaborating as part of a team.
Date Updated: 2/6/2006
ERMD 407 Emergency Medical Services Elective
Faculty: Jane Brice, MD, MPH
Prerequisites: Completion of ERMD 401
Offered: All elective periods
Min. Enrollment: 1
Max. Enrollment: 1
Duration: One elective period
Meeting Times: To be arranged with faculty mentor
Credit Hours: 6
Learning Objectives: This elective will provide students with a structured overview of hospital emergency medical care provided by a wide range of Emergency Medical Services.

1. Understand the principles governing EMS system designs.
2. Appreciate different EMS system designs.
3. Gain insight into quality improvement in EMS systems.
4. Gain an appreciation of incident management and mass casualty incidents.
5. Demonstrate the highest standards of professional behavior. This should include respecting the rights of patients and staff, as well as exhibiting professional reliability, accountability, and integrity.
Learning Activities: 1. Clinical observation with any of the following:
a. Orange County EMS
b. Orange County 911
c. Wake County EMS
d. Carolina Air Care and Ground Transportation services
e. Orange County Emergency Management
f. North Carolina Office of EMS

2. Each student will develop and complete an individual project in consultation with the course director and faculty member
Evaluation: 1. Faculty evaluation of clinical activities
2. Independent project evaluation
Date Updated: 2/6/2006
ERMD 408 Subspecialities in Emergency Medicine
Faculty: Jane Brice, MD MPH
Prerequisites: Completion of ERMD 401
Offered: All elective periods
Max. Enrollment: None
Duration: One elective period
Meeting Place: Student MUST contact Dr. Brice at least three months prior to the start of the rotation. Dr. Brice can be reached at jane_brice@med.unc.edu
Meeting Times: To be arranged with faculty mentor
Credit Hours: 6
Learning Objectives: In consultation with the core faculty member specific subspecialty learning objectives can be developed in the following areas of emergency medicine practice:

1. Toxicology
2. Pediatric Emergency medicine
3. Emergency Medicine Administration
4. Emergency Medicine Services
5. Sports Medicine
6. Emergency Medicine Research
7. Clinical Emergency Medicine
8. Disaster Medicine
9. Technical Rescue
10. International Emergency Medicine
11. Aeromedical Emergency medicine Services
12. Hyperbaric Medicine
13. Emergency Medicine Ultrasound
14. Emergency Medicine Radiology
15. Wilderness Medicine
Learning Activities: This elective experience is designed to provide fourth year students with a structured exposure to specific emergency medicine subspecialties. In consultation with the course directors, students will design subspecialty experience in 2 two-week blocks. A faculty member from UNC, whose interest closely matches the students learning objectives, will supervise each student. Off campus mentors and/ or experiences, will be identified and confirmed at least one month before student rotation periods.
Evaluation: Core faculty mentors must approve specific projects and will typically consist of a literature review and case presentation relevant to the specific subspecialty experience.
2. Other evaluation modalities such as objective tests, direct observation and participation may be utilized depending upon the subspecialty experience selected.

**NOTE: Students are required to meet with the course director at least 3 months before the desired elective period to define specific learning objectives and identify a core UNC faculty mentor. Off-campus subspecialty rotations will be tailored to each students' learning objectives in consultation with core mentors. All subspecialty experiences may not be available in all elective blocks. Students will be responsible for arranging their own room and board at away rotation sites. Course Director may be contacted by e-mail or brice@med.unc.edu
Date Updated: 3/26/2008
ERMD 409 International Elective in Emergency Medicine
Faculty: Jane Brice, MD, MPH
Prerequisites: Completion of all clinical clerkships and by permission
Offered: Course director must have three months notice
Max. Enrollment: None
Duration: One elective period
Meeting Place: Student MUST Contact Dr. Brice at least three months prior to the start of the rotation. Dr. Brice can be reached at brice@med.unc.edu
Meeting Times: To be arranged with faculty mentor
Credit Hours: 6
Learning Objectives: International Emergency Medicine rotations can be arranged in several countries including Turkey, Spain, Jamaica, New Zealand and Australia. Senior students who are interested in pursuing this elective should contact course director at least three months in advance of the elective. No financial support is provided. The course director can be contacted for further information.

1. Gain insight into diagnosis and management of acute care conditions and the practice of Emergency Medicine in an International setting.
2. Demonstrate the highest standards of professional behavior. This should include respecting the rights of patients, staff, and colleagues, as well as exhibiting professional reliability, accountability and integrity.
3. Develop an awareness of cultural influences on Emergency Medicine.
4. Compare and contrast the practice of Medicine in the United States with that of another foreign country.
Learning Activities: To be determined in consultation with

1). the student, 2.) the course director and 3.) the preceptor in the host country
Evaluation: 1. Clinical evaluation completed by the preceptor in the host country.
2. Short presentation to the course director of clinical activities completed by the student.
Date Updated: 3/26/2008
ERMD 410 Pediatric Emergency Medicine, WakeMed
Faculty: Graham Snyder MD
Prerequisites: Completion of all clinical clerkships
Offered: All
Min. Enrollment: 1
Max. Enrollment: 1
Duration: One month
Meeting Place: (see notes section)
Credit Hours: 6
Learning Objectives: 1. Utilize the skills of patient history and physical diagnosis to diagnose and manage acute care conditions in the pediatric ED patient.
2. Develop accurate and succinct communication skills for oral presentations and consultations which provide comprehensive information transfer in the ED setting.
3. Integrate Evidence-Based Medicine practices into the routine diagnosis and management of patients in the ED.
4. Observe and gain familiarity with the basic procedures required for the management of acutely ill or traumatized children. Such procedures include, but are not limited to, intravenous line placement, suture placement, BVM ventilation, and lumbar puncture.
5. Develop an awareness of the complex ethical issues involving the practice of pediatric emergency medicine.

This rotation will teach the student to evaluate, treat and determine appropriate disposition for a wide variety of pediatric emergency conditions, including trauma. Students independently evaluate a wide variety of acute presenting complaints and develop a differential diagnosis, evaluation, and treatment plan
Learning Activities: Students will participate in:
1. A minimum of 15 eight-hour clinical shifts in the ED.
2. 5 hours of didactic conference
3. Direct observation experience with a full history and physical exam
Evaluation: Students will be evaluated by:

1. Each attending with whom the student is scheduled to work clinically. This evaluation is completed on line by the responsible attending.
2. Evidence-based case report; demonstrating the capacity to integrate the assessment of the medical literature in to clinical problem solving. (Due at the end of the rotation.)
3. Attendance and participation at conferences and learning workshops
4. Direct observation assessment
Special Notes: Mandatory Orientation will be held on the first day of the rotation. Students will be advised day of the rotation. Students will be advised University issued email prior to rotation.
Date Updated: 3/14/2008
ERMD 411 Critical Care Emergency Medicine
Faculty: Kevin Biese, MD
Prerequisites: Completion of all clinical clerkships
Offered: All
Max. Enrollment: 2
Duration: one month
Meeting Place: (see notes section)
Credit Hours: 6
Learning Objectives: (what student will be able to do as a result of this experience?)

1. Utilize the skills of patient history and physical diagnosis to diagnose and manage acute care conditions in the undifferentiated ED patient at UNC.
2. Develop accurate and succinct communication skills for oral presentations and consultations which provide comprehensive information transfer in the ED setting.
3. Integrate Evidence-Based Medicine practices into the routine diagnosis and management of patients in the ED.
4. Gain proficiency in the basic procedures required for the management of acutely ill or traumatized patients. Such procedures include, but are not limited to, arterial puncture, suture placement, BVM ventilation, and central line placement.
5. Develop an awareness of the complex ethical issues involving the practice of emergency medicine.

This rotation will teach the student to evaluate, treat and determine appropriate disposition for a wide variety of emergency conditions, including trauma. Students independently evaluate a wide variety of acute presenting complaints and develop a differential diagnosis, evaluation, and treatment plan.
Learning Activities: (What the student will do e.g., conferences, rounds, clinic, expected hours, on call requirements/opportunities)

Students will participate in:

1. A minimum of 13 nine-hour clinical shifts in the ED.
2. 8 hours of weekly didactic conferences
3. Learning workshops, held daily (as the student's clinical schedule permits)
4. Direct observation experience with a full history and physical exam
5. One eight-hour Orange County EMS ride-along experience
6. Evidence-based review of medical literature in conjunction with emergency medicine department Journal Club
Evaluation: (How student will be evaluated e.g., observed administering procedures, Interviewing patients, presentation at case conference, participation in rounds, patient write-ups)

Students will be evaluated by:

1. Each attending with whom the student is scheduled to work clinically. This evaluation is completed on-line by the responsible attending.
2. Attendance and participation at conferences, learning workshops and Journal Club
3. Direct observation assessment
Special Notes: Mandatory Orientation will be held on the first day of the rotation. Students will be advised of reporting time and location via their University issued email prior to rotation. All schedule requests MUST be submitted at least two weeks prior to start of rotation.
Date Updated: 3/14/2008
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