Emergency Medicine

At Yale-New Haven Hospital combined emergency medicine/ultrasound sub-interns complete a 4-week rotation comprised of 10 clinical shifts, 6 scanning shifts dedicated to bedside ultrasound, and didactic activities. On clinical shifts, subinterns are expected to function as interns, evaluating patients primarily, managing multiple patients simultaneously, and presenting directly to the senior resident and attending. Students see a broad case mix in the emergency department and are expected to generate coherent, problem-focused differential diagnoses. They are involved in all aspects of patient care including updating patients and families, calling consultants, and performing procedures. They rotate with a variety of attendings and are exposed to faculty from all sections of the emergency department but they spend a majority of their shifts with ultrasound-trained faculty to maximize their ability to incorporate bedside ultrasound into clinical evaluation. Scanning shifts are dedicated to the skills of performing and interpreting bedside ultrasounds and are typically supervised by a senior resident or ultrasound fellow, which is the standard for our interns on their ultrasound rotation. Attention is paid to image acquisition, machine optimization, and image interpretation. Diagnostic pelvic, vascular, cardiac, pulmonary, biliary, trauma and soft tissue sonography are introduced. In addition, there are opportunities for the student to participate in supervised ultrasound guided procedures (central and peripheral vascular access, abscess drainage, paracentesis). Didactic activities for EM/US subinterns include resident educational conference and ultrasound image review. This is an advanced elective. Applicants must have completed or plan to complete an Emergency Medicine rotation prior to starting this elective.

Length of Rotation: 4 weeks (maximum-2 students)
Scheduling Restrictions: N/A
Student's Class Level: 4th, 5th year
Prerequisite(s): Internal Medicine and General Surgery Clerkships
Accept Visiting Students: yes.
Note to US Visiting Students: The Yale Emergency Medicine Residency Program strives for excellence in all areas. Continuing this year, we will be offering a scholarship to underrepresented minorities accepted for a subinternship or ultrasound rotation. This scholarship will pay up to $1500 to assist in travel and lodging while rotating at Yale New Haven Hospital. If interested, applicants should email their CV and a statement explaining their interests in leadership and academics at the time of their VSAS submission to Lisa Courtney at lisa.courtney@yale.edu. For questions, please also contact lisa.courtney@yale.edu.

Learning Objectives

At Yale-New Haven Hospital emergency medicine subinterns complete a 4-week rotation comprised of clinical shifts and didactic activities. Students complete 16 shifts of 8 hours’ duration, a clinical schedule similar to that of our residents. Students are expected to function as interns, evaluating patients primarily, managing multiple patients simultaneously, and presenting directly to the senior resident and attending. Students see a broad case mix in the emergency department and are expected to generate coherent, problem-focused differential diagnoses. They are involved in all aspects of patient care including updating patients and families, calling consultants, and performing procedures. They rotate with a variety of attendings and are exposed to faculty from the sections of education, ultrasound, critical care, global health, administration, and EMS. Didactic activities for sub-interns include resident educational conference, ultrasound image review and simulation.

Length of Rotation: 4 weeks (maximum-8 students)
Scheduling Restrictions: N/A
Student's Class Level: 3rd, 4th, 5th year
Prerequisite(s): Internal Medicine and General Surgery Clerkships. May do the subinternship as a third year if student has completed EM clerkship.
Accept Visiting Students: yes - department approval.
Note to US Visiting Students: The Yale Emergency Medicine Residency Program strives for excellence in all areas. Continuing this year, we will be offering a scholarship to underrepresented minorities accepted for a subinternship or ultrasound rotation. This scholarship will pay up to $1500 to assist in travel and lodging while rotating at Yale New Haven Hospital. If interested, applicants should email their CV and a statement explaining their interests in leadership and academics at the time of their VSAS submission to Lisa Courtney at lisa.courtney@yale.edu. For questions, please also contact lisa.courtney@yale.edu.

Learning Objectives

This elective is a two- or four-week experience that will introduce the student to the use of ultrasound at the bedside in the Emergency Department. Attention will be paid to image acquisition, machine optimization, and image interpretation. Examples of ultrasound applications that the student may perform are cardiac, pulmonary, general abdominal, pelvic, soft/tissue, trauma and hypotension evaluations. In addition there will be opportunities for the student to participate in supervised ultrasound guided procedures (central and peripheral vascular access, abscess drainage, paracentesis, regional analgesia). The bulk of time will be spent performing ultrasounds in the emergency department. One half-day a week (Tuesday afternoon) will be spent reviewing recorded examinations, their influence in clinical management, and scanning techniques. Educational materials will be provided. While the focus of this rotation is the sonographic evaluation of the emergency patient, students considering almost any specialty may benefit as clinician-performed ultrasound continues to expand. Students will be assigned daily scanning shifts which do not carry any clinical responsibility but receive exposure to the clinical environment. It is not the same as the combined Emergency Medicine / Ultrasound Sub-internship, in which the student will be primarily assigned clinical shifts to demonstrate knowledge, proficiency and workflow, and will also receive exposure to ultrasound through a few scan shifts and image review sessions.

Length of Rotation: 2 or 4 weeks (maximum-4 students)
Scheduling Restriction(s): Tuesday (1-5pm) Image Review sessions are considered mandatory.
Student’s Class Level: 3rd, 4th, 5th year
Prerequisite(s): N/A

Accept Visiting Students: yes (4 week only)

Note to US Visiting Students: The Yale Emergency Medicine Residency Program strives for excellence in all areas. Continuing this year, we will be offering a scholarship to underrepresented minorities accepted for a subinternship or ultrasound rotation. This scholarship will pay up to $1500 to assist in travel and lodging while rotating at Yale New Haven Hospital. If interested, applicants should email their CV and a statement explaining their interests in leadership and academics at the time of their VSAS submission to Lisa Courtney at lisa.courtney@yale.edu. For questions, please also contact lisa.courtney@yale.edu.

Learning Objectives

During this two-week or four-week medical simulation elective at the Yale Center for Medical Simulation (YCMS), participants will gain an immersive experience participating in medical simulation for medical education within the Yale School of Medicine. During the elective, students will participate as learners in high-fidelity medical simulation cases and procedural sessions on topics related to the students’ desired specialty/topic of interest. The students’ topic of interest will be decided on by the student and discussed with the course director prior to the start of the elective. Students will also participate in medical simulation as educators and facilitators by participating as actors in medical simulation cases for medical students and residents rotating through YCMS.

Students have the opportunity to participate in all educational activities within YCMS including simulation cases, debriefing sessions, procedural sessions, and in-situ simulations (simulations which take place in the clinical environment). Students will also create and program a medical simulation case during their rotation on their topic of interest under the mentorship of YCMS faculty, using evidence-based medicine resources. Students will be given one-on-one instruction on how to program their case. Students can also participate in simulation-based journal clubs, a simulation debriefing course and simulation-based medical student precede sessions if they fall during the time of their selected rotation.

Length of Rotation: 2 weeks (maximum - 4 students)
Scheduling Restrictions: Not during winter break (month of December)
Student's Class Level: 4th, 5th year
Prerequisite(s): Completion of third year of medical school
Accept Visiting Students: no

Learning Objectives