Seattle Children's - ER

Seattle, Washington - PEDS 665 P

Schedule and Goal of Medical Student Call in the Seattle Children's ER

Goal

To provide students with additional exposure to acute pediatrics illnesses

Objectives

Observe a variety of illnesses managed in the pediatric emergency room

Contrast the approach to patients in the ER and outpatient setting

Schedule

You will have shifts on call in the Seattle Children’s ER during your outpatient rotation. All shifts will be from 5:30-10:00pm.

You are free to switch around your sessions among your colleagues. All changes/switches must be communicated with the Medical Student Office.

All shifts will be in Pod 4 of the ED unless otherwise specified.

Detailed Schedule of Activities in the ER

Shift 1:

  1. Find Pod 4 ED attending and introduce yourself.
  2. Do orientation on the computer (~ 40 minutes).
  3. Reconnect with the Pod 4 ED attending. The attending will direct you to the best location and supervisor(s) for the evening- this will usually be Pod 4.
  4. Hand an evaluation form to the attending prior to leaving the ED.

Shift 2 and 3:

  1. Find the Pod 4 ED attending and introduce yourself. Let them know that this is your 2nd/3rd ED shift. The attending will direct you to the best location and supervisor(s) for the evening- this will usually be Pod 4.
  2. At the beginning of the shift, observe patient care from start to finish (including history/exam, ordering tests, doing procedures, writing prescriptions, and discharging/admitting).
  3. After shadowing for one or more patients with an ED provider, you can evaluate one or two patients, as the initial provider, during the shift and present to an ED provider. The ED team will help identify an appropriate patient for you to see (Triage level 4 or 5, possibly level 3 after discussion with the supervisor).
  4. Don't sign up for any patient without first checking with an ED attending.
  5. Hand an evaluation form to the attending prior to leaving the ED.

Note: Please look at the ED board and if there are any specific patients or processes you would like to see, let the team know.

Suggested readings to complement your experience:

  1. CLIPP cases 12, 16, 19, 24, and 25
  2. Yale Observation Scale
  3. Write down the diagnosis or major symptoms for each patient you see in the ED (or interesting cases that you hear about). Read a short discussion of that entity in any textbook (one text is recommended below) either during (if there is time) or after your shift.
  4. One recommended textbook is entitled "Pediatric Emergency Medicine – A comprehensive study guide" by Strange et al. This book has brief, but thorough discussions.


For questions or concerns regarding the ED rotation please contact:

Sherilyn Smith, MD
Associate Director, Medical Student Programs
987-2008
ssmit1@uw.edu

Or

Stephanie Richling, MD
Attending Physician, Emergency Department
987-2708
stephanie.richling@seattlechildrens.org