Chief of Emergency Medicine

Stacy Sawtelle, MD

James Comes, MD, FACEP

Program Director

Stacy Sawtelle, MD

Stacy Sawtelle, MD

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EM 140.30​ – Sub-internship in Emergency Medicine at UCSF Fresno

​We are no longer accepting applications for student rotations in 2019.  Our schedule and wait lists are now full. 

Students on CRMC helpadThis 4-week course provides an exciting opportunity to do a sub-internship at Community Regional Medical Center in Fresno, California’s busiest Level One Trauma & Burn Center.  Sub-interns act as the primary care provider for ill and injured patients presenting to the Emergency Department with a wide variety of complaints.

Course Objectives: Through clinical work, bedside teaching, and didactic sessions students will learn to care for undifferentiated ill and injured patients.  By assuming care for patients at the time of their initial presentation to the ED, 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, patients, and families, and document appropriately.  In addition to 16 clinical shifts in the ED, students will participate in weekly resident conferences as well as didactic and simulation sessions 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.  As sub-interns, students staff cases directly with attending physicians and act as the primary provider for their patients, including placing orders and completing documentation in the EMR.

Schedule: 4 week rotation, starting every other Monday.  Students are scheduled for 16 shifts, each 8-10 hours long.  Students are expected to attend weekly resident conference (4 hours/week) and medical student-specific didactics (1-2 hours/week).

Common Problems/Diseases:  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 coccidioidomycosis), and critical illnesses such as MI, stroke, and septic shock.  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.

Prerequisites: Prior completion of core clerkships in Medicine, Pediatrics, Ob/Gyn and Surgery.  Students must have passed USMLE Step 1 prior to beginning the clerkship.  Visiting students typically have already completed a clerkship in Emergency Medicine at their home institution (this does not apply to UCSF and PRIME students.)  Prerequisites can be waived at the discretion of the course director.  For rotation dates starting May through October, scheduling preference is given to those planning to apply for residency in Emergency Medicine. 


​We are no longer accepting applications for student rotations in 2019.  Our schedule and wait lists are now full. 
How to apply:  Please email your medical school transcripts, USMLE score transcripts, and preferred rotation dates to our clerkship coordinator, Toni Conmy tconmy@fresno.ucsf.eduWe STRONGLY encourage all applicants to include a brief statement of interest explaining why you want to take this course and how it fits into your career plans.  Every year, we receive applications from many more students than we can accommodate.  Please take this opportunity to provide us any information that might be helpful as we consider your application. 

All students (UCSF and visiting students using VSLO) may apply online at: http://www.fresno.ucsf.edu/medical-student-programs/electronic-applications/ . Please email Toni as above prior to submitting your VSLO application.

UCSF students: please refer to the Fresno website at www.fresno.ucsf.edu. Or, complete STEP 2 at link: http://www.fresno.ucsf.edu/medical-student-programs/electronic-applications/.

Send your requests or questions to:

Toni Conmy, Clerkship Coordinator
UCSF Fresno, Department of Emergency Medicine
559-499-6440
tconmy@fresno.ucsf.edu

or

Anneli von Reinhart 
Medical Student Clerkship Director
UCSF Fresno Department of Emergency Medicine
Avonreinhart@fresno.ucsf.edu

 

Housing:
Student housing is available and is free to UCSF students.  It is located about 10 miles from the CRMC hospital campus.  Rent for Non-UCSF students is $650.00 for a single bedroom, and $450.00 for a shared room (dorm setup.)  If there is no vacancy available, we do offer an alternative housing list, which is our version of AirBNB.  Questions about housing?  Contact UME Program Coordinator Jonathan Medina, jmedina@fresno.ucsf.edu

 

 

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

group of medical students

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.

Medical Students at Clinical Skills Lab

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.

Medical Students by ambulance
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: 
4

Location to report to: 
UCSF Fresno Center 

Comments: 
UCSF students: please refer to the Fresno website at www.fresno.ucsf.edu. Or, complete STEP 2 at link: http://www.fresno.ucsf.edu/undergrad/application.html.

ALL students (UCSF and visiting students using VSAS) may apply online at: http://www.fresno.ucsf.edu/medical-student-programs/electronic-applications/

In addition to the application, this department requires board scores and transcripts, which should be sent directly to department contact, Toni Conmy at tconmy@fresno.ucsf.edu

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. 

Housing:
Student housing is available for students and is free to UCSF students and $350 for non-UCSF students. http://www.fresno.ucsf.edu/undergrad/housing.htm

To apply for the rotation, please fill out the elective application provided on the UCSF Fresno Web page: http://www.fresno.ucsf.edu/undergrad/application.html. 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
559-499-6440
tconmy@fresno.ucsf.edu

or

Anneli von Reinhart
Medical Student Clerkship Director
UCSF Fresno
Department of Emergency Medicine
Avonreinhart@fresno.ucsf.edu


 

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
f

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: http://www.fresno.ucsf.edu/medical-student-programs/wilderness-medicine-rotation/

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
mstorkan@fresno.ucsf.edu

Lori Weichenthal, MD
UCSF Fresno
Emergency Medicine Residency Program
155 North Fresno Street
Fresno, CA 93701
lweichenthal@fresno.ucsf.edu[/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

 


Scholarship for Visiting UiM Students 


 – We are no longer accepting applications for this year.  Congratulations to our 2019 scholarship awardees!

The UCSF Fresno Emergency Medicine program is excited to again offer scholarships to support visiting students who come from groups underrepresented in medicine (UiM).  Our program is committed to diversity, equity, 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.  To that end, this scholarship is designed to help students underrepresented in medicine complete a sub-internship in Emergency Medicine at UCSF Fresno.  The scholarship supports students by defraying the costs of travel and housing, and providing unique opportunities for mentoring and career development.

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

  • Free housing
  • $1000 for travel costs (receipts to be submitted for reimbursement)
  • Waived/reimbursed application fees
  • First priority in scheduling your rotation
  • Resident and faculty mentors to offer support and guidance, and facilitate opportunities for you to explore your areas of particular interest within EM

During their rotations, scholars and all our sub-interns will have opportunities to:

  • interview for residency at UCSF Fresno (no need to travel back during the busy interview season)
  • attend all departmental social and recruiting events
  • receive a letter of recommendation (eSLOE) from our department to include in your ERAS application

Eligibility:  To qualify for this scholarship, you must be entering your final year of medical school (graduating 2020) and planning to pursue a residency 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.  Prior to the start of your rotation you must have completed core clerkships in Medicine, Pediatrics, Ob/Gyn, and Surgery and have passed Step 1 of the USMLE.  We do not have USMLE score cut-offs.

To apply, please complete 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 tconmy@fresno.ucsf.edu .  You will also need to apply to our clerkship through VSLO, but do not need to do so before submitting your scholarship application.

Applications are due by midnight (PST) on Thursday, February 28, 2019.  Scholarship offers will be made by Friday, March 15.

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


MEDICAL STUDENTS ROTATIONS

May 2019

 


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June 2019