Welcome to Emergency Medicine at Spartanburg Medical Center. In our Emergency Center, one of the busiest in the state of South Carolina, you will have a chance to manage all aspects of emergency patient care. Spartanburg Medical Center is a Level I Trauma Center, Primary Stroke Center, nationally accredited Chest Pain Center, NCI Community Cancer Center and home to the first Hospital Emergency Response Team (HERT) in the U.S.
We are committed to helping you attain a valuable, relevant clinical experience in emergency medicine. You will be supervised by board certified emergency medicine attendings. You will be a part of the care team alongside an experienced staff of nurses, respiratory therapists and technicians. Didactics include lectures, evidence-based medicine articles, ultrasound lab, airway lab and EKG skills review. Case presentations will supplement on-shift learning to comprise your emergency medicine clerkship experience. We welcome your participation in carrying out the Spartanburg Regional Healthcare System mission to provide excellence in health.
Visiting students will meet with our medical student coordinator on the first day of their rotation. She will provide computer access and passwords, HIPAA compliance training, hospital tour/directions/parking, and housing (if applicable).
Emergency center orientation
Our clerkship orientation will consist of a welcome packet with written handouts and an initial welcome session with clerkship directors. There will be a tour of the emergency center and time for FAQs afterward. You will get to know the other students and residents on rotation with you at that time. If you have further questions, please contact the clerkship administrative assistant.
Students and residents will have required training for Epic, our electronic medical record system, prior to any shift work in the emergency center. Epic trainers have been reserved specifically to highlight the features of our charting system to help you navigate the emergency center census board and patient chart.
Goals and objectives
- To advance the education of medical students and residents in the specialty of emergency medicine and acute care medicine
- To foster professional development of medical students and residents
- To provide a wide variety of cases that encompass multiple topics in emergency medicine
- To highlight the team concept in patient management as multiple disciplines from paramedics to nurses to therapists to physicians cooperate to improve outcomes
- To introduce the concept of triage medicine and recognize life threatening illnesses
- To develop proficiency in the core clinical skills of: history and physical examination, case presentations, development of differential diagnosis, appropriate workups and bedside procedural skills
How to survive your emergency medicine rotation
Students requirements: 16, 10-hour shifts during rotation (link) VCOM syllabus.pdf
Family medicine resident requirements: 12, 10-hour shifts in addition to clinic obligations
Transitional Year resident requirements: 14, 10-hour shifts
- Show up on time (early), introduce yourself, and communicate goals for shift with attending. Dress appropriately in scrubs and white coat with badge.
- Actively seek out learning opportunities and a variety of cases (goal is one patient per hour or more).
- Recognize sick vs. not sick.
- Work towards autonomy in patient management, including polished case presentations, pertinent and focused exam findings, broad differential diagnoses, and plan of care including therapies and diagnostic workup.
- Independently review and interpret diagnostic testing, including labs, imaging, EKG, and re-evaluate patients post medical therapy.
- Seek feedback, discuss areas for improvement and formally request shift evaluation* or “spot eval.”
- Communicate all aspects of patient care with your attending frequently.
Attendance of Monday lecture series from 9-11 a.m. is mandatory, unless you have prior approval for vacation or an interview.
You must record each patient you see in the emergency center with their chief complaint, your differential and their final diagnosis. Form will be provided.*
You must record when you observe or perform any procedure in the department. Form will be provided.*
VCOM students are required to keep a list of the types of cases they see, to document volume and variety of cases. Form will be provided.*
Articles and supplemental reading will be provided. The subject matter will be tested on the last lecture day of the rotation. Subject matter is applicable to all critical care and familiarity with material will aid in discussion of medical decision making on shift.
*These forms are expected to be compiled, organized, and turned in on the last day of your rotation. This information will comprise a large portion of your clerkship evaluation.
The overall evaluation is comprised of a combination of the following categories:
- Clinical proficiency: Each shift will be evaluated by your assigned attending based on achievement in the ACGME core competencies of patient care; medical knowledge; practice-based learning and improvement; interpersonal and communication skills; professionalism; and systems-based practice. In addition you will be evaluated on the core clinical skills listed in the goals and objectives section.
- Lecture participation: Lecture will be grand-rounds style for two hours each Monday from 9-11 a.m. Students and residents are expected to be on time and prepared for each week’s discussion.
- Procedures: Participation in bedside procedures is a cornerstone of emergency care. Seek out opportunities and get involved.
- Evidence-Based Learning: Landmark journal articles related to management and risk stratification of acute care patients have been selected to help the junior learner form a foundation for important medical decisions. There will be a test.
Tips for Success
Tips for Success
- Be professional in all interactions. This includes patients and staff.
- Present patients after gathering your thoughts on the initial assessment: exam findings, possible diagnoses and plans for orders.
- Give thought as to why you recommend a certain lab or image be obtained. Be able to explain how this correlates to your differential diagnosis.
- Present patients in a focused manner. Figure out what is pertinent to the history and exam – both what is present and what is not present.
- Find help if you come upon a critical or unstable patient. Many cases in our department are extremely time sensitive.
- Be early, stay late, and let someone know if you are breaking for lunch or lecture. Communicate with your preceptor.
- Nobody expects you to know everything. While “I don’t know” is not an acceptable answer, “I’ll look it up” is.
- Seek out learning opportunities, new and challenging cases, and procedures. This may take introducing yourself to multiple attendings and surveying the emergency center census.
- Enjoy your rotation. This is a unique opportunity to evaluate undifferentiated complaints and provide therapies that make life- and limb-saving differences.
- If you have questions, ASK!
- Tintinalli's Emergency Medicine Manual
- Rosen's Emergency Medicine: Concepts and Clinical Practice
- Roberts and Hedges’ Clinical Procedures in Emergency Medicine and Acute Care