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College of Medicine MD Curriculum

Emergency Medicine Acting Internship-UTMC/TTH

Title of Clerkship: Emergency Medicine Acting Internship-UTMC/TTH

Elective Year(s): Acting Internship

Department: Emergency Medicine

Type of Elective: Clinical

Clerkship Site: UTMC/TTH

Course Number: ERMD 715

Blocks Available: All

Number of Students/Block: 2 Students

Faculty: Allen Williams, MD and various faculty

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聽聽聽聽 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聽聽 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 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:

  1. Obtain a focused developmentally appropriate biomedical and psychosocial story of the patients鈥� illness in the acute care setting. (EPOs: MK-1, MK-4, MK-6, MK-7, PC-1, PC-2, PC-5)
  2. Perform a physical exam that is focused on the patients鈥� acute problem. (EPOs: MK-1, MK-4, MK-6, MK-7, PC-1, PC-2)
  1. 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)
  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)
  3. Perform basic emergency medicine procedures, including incision and drainage. (EPOs: PC-5, PB-1, IPC-3)
  4. Care for acute injuries. (EPOs: PBL-1, PBL-3, SBP-3, SBP-4)
  5. Formulate management strategies, which are consistent with the acuity of the illness as well as the patient鈥檚 interests, needs, and preferences. (EPOs: PC-3, PC-5, PB-1, PB-3, PBL-2, SBP-1, SBP-2, SBP-4, SBP-6 , SBP-4, MK-5, MK-8)
  6. Triage acute medical conditions in a timely manner. (EPOs: MK-1, MK-5, PC-3, PC-6, PC-7, PC-8)
  7. Demonstrate appropriate utilization of professional consultations in the acute care setting. (EPOs: MK-1, PC-6, PC-7, PC-8, SBP-1, SBP-5)
  8. 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)
  9. 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)
  10. Participate in evening or weekend clinical care to support continuity of patient care and demonstrate professionalism in varied clinical settings. (EPO: IPC-2)
  11. Conduct structured patient handoffs using an evidence鈥慴ased communication approach to ensure safe and accurate transfer of care. (EPO: SBP-1)

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 resources, ROSH review
  2. Individual case management with faculty
  3. Emergency Medicine Lecture and Procedure Lab
  4. Emergency Medicine Didactic Conferences as scheduled
  5. Clinical experience - inpatient

Assessment Methods:

  1. M4 Clinical Elective Assessment (40%)
  2. NBME or Departmental Written Examination (20%)
  3. Institutionally developed clinical performance (Simulation exam) with Clerkship director or assigned EM faculty (20%)
  4. Case Presentation with Clerkship Director or assigned EM faculty (10%)
  5. Completion of patient case log (5%)
  6. Completion of procedure log (5%)
  7. Completion of the following requirements are required prior to release of grade:
    1. Log of clinical educational hours.
    2. Participation (Attendance at Conference, Workshops, and ED Clinical Shifts)
    3. Case Presentation at ED conference- Any ED topic (3 min: Patient presentation; 7min: discuss the topic related to this patient.)

8. Completion of Blackboard modules
9. Patient presentation to faculty/residents (formative)

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

Special Requirements:

  1. As part of the acting internship, students are required to participate in at least one evening or weekend clinical experience. 聽This experience ensures exposure to the full spectrum of patient care responsibilities and supports readiness for residency-level schedules and work environment.
  2. Students are expected to participate in structured patient handoffs as part of their clinical responsiblities. 聽This includes observing and contributing to the sign-out processes to ensure safe, effective transitions of care.

Clerkship Director: Allen Williams, MD

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

Special Requirements: None

ECC Approved
March 2026