Message from the Chair

Jim Davis

James Comes, MD, FCEP

Chief, UCSF Fresno Emergency Medicine

Program Director Message

Jim Davis

Stacy Sawtelle, MD

Program Director

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Medical Students



UCSF Fresno has three exciting elective opportunities in Emergency Medicine (EM) that are provided in conjunction with the residency program.

  • Clinical EM Elective- EM 140.30
  • Wilderness Medicine Elective- EM 140.31
  • EM Research Elective- 150.01


Clinical EM Elective—EM 140.30

Tier 1A. This course provides an exciting opportunity to do a sub-internship at a busy Level One Trauma & Burn Center, acting as the primary provider for ill and injured patients presenting to the Emergency Department with a wide variety of complaints.

Course Objectives: This rotation provides the student a broad overview of the field of Emergency Medicine. Through dedicated didactic sessions and bedside teaching, students will learn to care for undifferentiated ill and injured patients.  By assuming care for patients at the time of their initial presentation, students will learn to obtain relevant histories, perform focused physical exams, select appropriate diagnostics, interpret results, develop management and disposition plans, communicate effectively with consultants and patients and families, and provide appropriate patient education.  In addition to 16 clinical shifts in the ED, students will participate in weekly resident conferences as well as didactic and simulation session designed exclusively for students.  Rotators will have opportunity to learn and practice many skills and procedures, including placing peripheral IV’s and central lines, NG tubes, Foley catheters; performing LP’s; suturing lacerations; reducing fractures and dislocations; and acquiring and interpreting bedside ultrasound images.

Common Problems/Diseases: Our population includes patients of all ages, many ethnic and cultural backgrounds, and those suffering from problems related to addiction, homelessness, and limited access to care.  Students will encounter a wide variety of disease processes, including acute traumatic injuries, exacerbations of chronic illnesses, infections both common (community-acquired pneumonia) and rare (extrapulmonary coccidiomycosis), and critical illnesses such as MI, stroke, and septic shock.

Recommended Reading: A recommended reading list will be provided during orientation. 

Team Composition: Students will present directly to and work closely with attending physicians.  They will also have opportunity to work with residents on-shift and during didactic sessions.

Patient Contact Hour Number (hours): 35 

Classroom Time (hours): 16 

Grading: Pass/High Pass/Honors/Fail

Prerequisites: Fourth-year standing.  Prior completion of core clerkships in Medicine, Pediatrics, Ob/Gyn and Surgery. Prerequisites can be waived at the discretion of the course director.  For rotation dates starting May through November, scheduling preference will be given to those applying for residency in Emergency Medicine. 

Quarters Taught: Summer, Fall, Winter, Spring

Location: Fresno 

Minimum Weeks Offered: 

Location to report to: 
UCSF Fresno Center 

UCSF students: please refer to the Fresno website at Or, complete STEP 2 at link:

ALL students (UCSF and visiting students using VSAS) may apply online at:

In addition to the application, this department requires board scores and transcripts, which should be sent directly to department contact, Toni Conmy at

We encourage all applicants to include a brief statement of interest explaining why you want to take this course.  Every year, we receive applications from many more students than we can accommodate; please take this optional opportunity to provide us any information that might be helpful as we process your application. 

How to Add & Drop a course:
Fresno course. Please see the Comments section for instructions on how to add/drop this course. 

Student housing is available for students and is free to UCSF students and $350 for non-UCSF students.

To apply for the rotation, please fill out the elective application provided on the UCSF Fresno Web page: We also request a copy of your transcript and your USMLE step one 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:

Toni Conmy, Site Scheduler
UCSF Fresno
Department of Emergency Medicine
155 North Fresno Street
Fresno, CAL 93701


Anneli von Reinhart
Medical Student Clerkship Director
UCSF Fresno
Department of Emergency Medicine


Wilderness Medicine UCSF Fresno from Daniel Hernandez on Vimeo.


Wilderness Medicine Elective—EM 140.31
WM05 190.jpg

“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 course is a combination of classroom didactics and hands on training in the Sierras/Yosemite Park. Major topics in wilderness medicine are covered including:

  • High altitude illness
  • Heat and cold exposure
  • Lightning injuries and burns
  • Plants and envenomations
  • Trauma in the wilderness
  • Wild land fires and avalanches
  • Wilderness preparedness

High altitude illness
Heat and cold exposure
Lightning injuries and burns
Plants and envenomations
Trauma in the wilderness
Wild land fires and avalanches
Wilderness preparedness

The second week is spent in the Sierra Nevadas, applying the knowledge obtained in the first week
WM05 039.jpg
Activities include:

  • Wilderness improvisation
  • Search and rescue
  • Wilderness survival
  • Rock climbing
  • Water safety

Student housing for the first week of the course is available at a cost of $150 total. This fee is applicable to all non-UCSF students applying for the course. For additional information on housing and to apply, please click on the following link:

To learn about the dates for this year’s course, for any questions, or to learn about the application process, please contact:

Michelle Storkan, MD
UCSF Fresno
Emergency Medicine Residency Program
155 North Fresno Street
Fresno, CA 93701

Lori Weichenthal, MD
UCSF Fresno
Emergency Medicine Residency Program
155 North Fresno Street
Fresno, CA 93701[/halfcolumn]


EM Research Elective—150.01
Students may arrange an elective rotation with one of the EM faculty members to work on a research project. The specific project, dates, and derivatives of the elective are at the discretion of the student and faculty preceptor. For more information, please see our research page or please contact:

UCSF Fresno
Department of Emergency Medicine
155 North Fresno Street
Fresno, CA 93701




November 2018

December 2018

Scholarship for Visiting UiM Students
(We are no longer accepting scholarship applications for 2018. Thank you!)

The UCSF Fresno Emergency Medicine program is excited to announce a new scholarship to support visiting students who come from groups underrepresented in medicine (UiM).  Our program is committed to diversity and inclusion in all our recruitment and education efforts.  We believe that when our team reflects the diversity of our surrounding communities it enhances our ability to provide exceptional care and to better address healthcare disparities.  To that end, this scholarship is designed to help students underrepresented in medicine come rotate with us by defraying the costs of travel and housing, and to provide those students unique opportunities, support, and career development.

In addition to the exciting learning opportunities that our clerkship offers, scholarship awardees will receive:

  • Free housing
  • $1000 for travel costs (receipts to be submitted for reimbursement)
  • Resident and faculty mentors to offer support and guidance
  • Unique opportunities to explore your areas of particular interest within EM, such as Toxicology, EMS, Wilderness Medicine, Informatics, or Point-of-Care Ultrasound
  • Waived/reimbursed application fees

As is the case for all our EM-bound rotators, scholars will:

  • interview during your rotation (no need to travel back during the busy interview season)
  • be invited to all departmental social events
  • receive an eSLOE from our department

Eligibility:  To qualify for this scholarship, you must be entering your final year of medical school (graduating 2019) and planning to pursue a career in Emergency Medicine.  You must identify as part of a group underrepresented in medicine, defined by the AAMC as “those racial and ethnic populations that are underrepresented in the medical profession relative to their numbers in the general population.”  You must be in good academic standing and have passed Step 1 of the USMLE prior to the start of your rotation.

To apply, please complete and submit the application form (download, fill out, save to desktop).  Email this form file, along with your medical school transcripts, a CV, and USMLE score report to Toni Conmy at .  You will also need to apply to our clerkship through VSAS, but do not need to have completed this process before submitting your scholarship application.

Applications will be reviewed on a rolling basis.  Scholarship awardees will enjoy first priority in scheduling rotations during the high-demand months of June, July, and August 2018.

A bit more about the UCSF Fresno EM clerkship:

In our busy Level 1 Trauma and Burn Center, we care for a large, diverse, and underserved population of patients who come from settings urban, suburban, and rural.  As a sub-intern, you will act as the primary provider for patients presenting with a wide range of problems ranging from acute traumatic injuries to infections both common (pneumonia) and rare (extrapulmonary coccidiomycosis), critical illnesses such as septic shock and stroke, and complications of psychosocial issues such as addiction, homelessness, and limited access to care.  On shift, you will present directly to attendings, and will also have opportunity to work closely with our fantastic residents.  In addition to your clinical time, you will attend weekly resident conferences and medical student-specific didactics and simulation sessions.  You will have opportunity to learn and practice many procedures, including placing of peripheral IVs and central lines, repairing lacerations, reducing and splinting orthopedic injuries, performing lumbar punctures and paracenteses, and managing airways.

Questions about the scholarship or our clerkship?  Please email our coordinator, Toni, or our clerkship director, Dr. Anneli von Reinhart