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College of Medicine MD Curriculum

Emergency Medicine SAHEC 4 Weeks

Title of Course: Emergency Medicine 鈥� SAHEC - Sandusky

Elective Year(s): Fourth-Year Elective

Department: Emergency Medicine

Type of Elective: Clinical

Course Site: Fireland Regional Medical Center Emergency Department

Course Number: ERMD 721

Blocks Available: All

Number of Students/Block: 1 Student

Faculty: Patrick Tupa, D.O. and John Smith, M.D.

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 Course: 4 Weeks

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

  1. Perform histories and physical examinations on a wide variety of patients with variable acuities. (EPOs: PC-1, PC-9)
  2. Demonstrate and document an accurate history and physical examination. (EPOs: PC-1, PC-9)
  3. Formulate differential diagnoses, diagnostic interventions, and treatment plans. (EPOs: MK-4, MK-6, PC-7)
  1. Explain the anatomical, biochemical, and/or physiological reason for an ED patient鈥檚 clinical presentation. (EPOs: MK-1, MK-6)
  2. Interpret EKG, laboratory and radiology studies as applied to patient evaluation and treatment. (EPOs: PC-6)
  3. Demonstrate professional behavior. (EPOs: MK-3, PB-1, PB-2, PB-3)
  4. 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, IPC-2)
  5. 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)
  6. 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)
  7. Explain the rationale for utilizing a specific consultative service. (EPOs: IPC-2)
  8. 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)

听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鈥檚 EM, Mulford Library/website (UptoDate), Blackboard, ROSH review
  2. Individual case management with faculty
  3. Direct observation and interaction with faculty.

Assessment Methods:

  1. M4 Clinical Rotation evaluation
  2. Mock Code exam or alternate written exam (in case of extenuating circumstances)
  3. NBME or Departmental written exam (in case of extenuating circumstances)
  4. Assessment of patient case log, procedure log, and hours
  5. Mid-point evaluation with a faculty preceptor

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

Clerkship Director: Allen Williams, MD

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

AHEC Coordinator: Sophie Aldrich
Phone Number: 419-359-5877
Email: sahec@fchsohio.com

Special Requirements: None

ECC Approved
February 2026