EM Clerkship

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**EM Clerkship**

The purpose of this podcast is to help medical students crush their emergency medicine clerkship and get top 1/3 on their SLOE. The content is organized in an approach to format and covers different chief complaints, critical diagnoses, and skills important for your clerkship.

Latest Episodes:

Deep Dive MW R3 Oct 19, 2022

Show notes

show notes coming soon

Round 3 (MW) – MVC Oct 03, 2022

Show notes

Show comments to be posted shortly

Interviews Part 1 – Crafting your schedule Sep 29, 2022

Show notes

* Understand the timeline – research programs to find out when they extend invites and when they host interviews* Prepare for invitations – set up email and text notifications, get a calendar* Accept invitations – respond promptly and keep your calendar updated* Optimize invitations – any interview date you get is a good one, but planning ahead can help you optimize timing* Too many or too little interviews – drop early, keep tabs with whether programs have extended invites and stay in close contact with your advisors

Deep Dive MW R2 Sep 18, 2022

Show notes

Summary of Key Points
1. You should consider ectopic pregnancy in every patient who is capable of bearing children
2. If a patient of child bearing age presents with severe abdominal pain or vaginal bleeding and is either hemodynamically unstable or very ill appearing, this is a ruptured ectopic pregnancy until proven otherwise and I would recommend performing a bedside FAST exam immediately.
3. Remember that the discriminatory zone for TVUS is approximately 1500.
4. Don’t forget your three ACEP clinical policies on this topic: just to remind you,
4a. It is a level B ACEP clinical policy to obtain a TVUS in every stable pregnant patient presenting with abdominal pain or vaginal bleeding, regardless of serum b-HCG level
4b. There is also a level B ACEP clinical policy stating that in patients with an indeterminate TVUS, you cannot use serum bHCG value to rule out ectopic pregnancy.
4c. It is a level C ACEP clinical policy to obtain specialty consultation or arrange close outpatient followup in all patients with an indeterminate TVUS result.
5. Although this isn’t an ACEP recommendation, ACOG recommends rhogam for all Rh negative women diagnosed with an ectopic pregnancy
6. Don’t forget to consider heterotopic pregnancy, especially if IVF was used to help conceive.
Further Reading:
ACEP Clinical Policy – Early Pregnancy

Round 2 (MW) – Abdominal Pain Sep 01, 2022

Show notes

You are working at Clerkship General when the next chart gets handed to you – a 31 year old female presenting with abdominal pain.
Initial Vitals:
BP: 109/65
HR: 96
RR: 21
O2: 99%
Temp: 99.1F
Critical Actions:
* Obtain pregnancy test* Confirm IUP * Administer Rhogam* Treat UTI* Counsel the patient and discharge them
Further Reading:
CoreEM – Utility of Anti-D Immunoglobulin(Rho Gam) During First Trimester Pregnancy
EMDocs – Bleeding in Early Pregnancy

Selecting Programs Aug 17, 2022

Show notes

Things to consider when selecting residency programs to apply to: 1. What type of program (County, Community, Academic) 2. What length of program (3 year vs. 4 year) 3. Location 4. Culture and Lifestyle 5. Niches in EMFurther Resources:
EMRA Residency Map Doximity Navigator SAEM Residency Fair EMRA Residency Fair

Competitiveness Aug 17, 2022

Show notes

3 Steps to assessing your competitiveness for matching in an EM residency: 1. Get a good advisor. 2. Look at the data. 3. Maximize your potential.
Further Reading:
EMRA – Apply smarter not harder EMRA Hangouts EMRA Student-Resident Mentorship Program NRMP Charting the Outcomes NRMP Residency Data ALiEM – Match Advice UTSW Texas STAR

Should I go into EM? Pt 2 Aug 15, 2022

Show notes

The future of emergency medicine seems bleak. Listen to Zack’s perspective on the future of our beloved specialty in part TWO of this two-part series.

Round 1 (MW) – Shortness of Breath Aug 01, 2022

Show notes

You are working your FIRST SHIFT EVER at Clerkship General hospital when a 60 year old female presents with shortness of breath.
Initial Vitals:
* HR: 92* RR: 28* BP: 120/80* O2%: 89%* Temp: 101.2F
Critical Actions:
* Obtain full set of vital signs* Diagnose PNA and COPD exacerbation* Administer appropriate antibiotics* Treat symptoms with steroids and nebulizers* Admit patient to the hospital

Should I go into EM? – Part 1 Jul 19, 2022

Show notes

The future of emergency medicine seems bleak. Listen to Zack’s perspective on the future of our beloved specialty in part one of this two-part series.

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