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Emergency Medicine-Medical Students
UCSF Fresno has two exciting elective opportunities in Emergency Medicine (EM) that are provided in conjunction with the residency program.
Emergency Medicine 140.90
“I learned more in one month in this emergency department compared with all the other months of medical school.”
“An Awesome Experience!”

This elective is a true sub-internship in EM which allows the student to be the first member of the physician team to evaluate undifferentiated patients. Students are exposed to a wide variety of pathology and get a great overview of the practice of emergency medicine.
A review of the cases that students evaluated over the last several years revealed that the top ten most common chief complaints were: Lacerations, abdominal pain, problems of pregnancy, chest pain, urinary tract complaints, orthopedic injuries, headache, pelvic disorders, and breathing problems.
Students present all of their cases to teaching faculty or to senior residents who have a special focus in medical education. The majority of the teaching is one-on- one and at the bedside. Twice a day rounds are also conducted which provide an additional venue for clinical teaching.
Although resuscitations of critically ill medical and trauma patients are managed primarily by senior residents, medical students are encouraged to become involved in these cases. Residents and attendings will discuss these cases with students as they are unfolding so that the students develop an understanding of the thought processes involved in critical resuscitations. There are also many procedural opportunities for students during resuscitations including central line placement, chest tube insertion, FAST examinations, laceration repair and fracture/dislocation reductions.
Students are encouraged to attend the weekly resident conferences which occur on Wednesday and Thursday mornings. There is also a weekly medical student conference which covers such topics as resuscitation of the critically ill patient, airway management, procedural skills, and case presentations of common ED chief complaints.
The elective is offered at Community Regional Medical Center (CRMC) which has a new state of the art emergency department with an annual patient census of over 100,000. CRMC is the primary site for the EM Residency program at UCSF Fresno and students will have the opportunity to work side-by-side with EM residents. CRMC is the only level one trauma and burn center in the central valley and serves a diverse patient population.
Students work a total of 16 ten hours shifts. These shifts will include a mixture of days, evening and night shifts, as well as nights and weekends. This assures that students are exposed to the ED in all of its variety. The schedule will be assigned to students but they may request certain days off during the application process. Two of the shifts may be substituted for EMS ride alongs. The current shift times are:
Grading is based on clinical performance that is evaluated using daily feedback forms. Possible grades are: Honors, High Pass, Pass and Fail.
Special opportunities are available to students who desire exposure to EMS, the parkmedic program or wilderness
medicine. Please make sure that you express such interests in your application.

This elective is open to all fourth year medical students who have a desire to learn about the specialty of EM. Special consideration is given to students with a strong interest in pursuing a career in EM during the months of July through November.
To apply for the rotation, please fill out the elective application provided on the UCSF Fresno Web page (http://www.fresno.ucsf.edu/undergrad/forms.htm). We also request a copy of your transcript and your board scores. Please make sure that we know your career interests when you apply. As this is a popular elective, please submit your application
well in advance and provide us with at least two potential dates of availability.
Send your requests or questions to:
Donna Armijo, Site Scheduler
Emergency Medicine Program
darmijo@fresno.ucsf.edu
or
Manon Kwon, MD
UCSF Fresno
Emergency Medicine Residency Program
155 North Fresno Street
Fresno, California, 93701
mkwon@fresno.ucsf.edu
Emergency Medicine 140.91

“One of the best and most practical courses I have taken in medical school. I will recommend it to all of my friends.”
This elective is a two week course offered annually, usually in the late summer. It is a hands on course that covers the major topics and skills in wilderness medicine.
The first week of the course is spent in didactics, covering the major topics in wilderness medicine, including:
Student housing for the first week of the course is available at a cost of $50.00 total. This fee is applicable to all non-UCSF students applying for the course. For additional information on housing, please click on the following link: http://www.fresno.ucsf.edu/undergrad/forms/essential_housing_information.pdf
The second week is spent in the Sierra Nevada’s, applying the knowledge obtained in the first week

Activities include:
To learn about the dates for this year’s course, for any questions, or to learn about the application process, please contact:
Lori Weichenthal, MD
UCSF Fresno
Emergency Medicine Residency Program
155 North Fresno Street
Fresno, CA 93701
lweichenthal@fresno.ucsf.edu
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