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Medical Student Clerkships

Due to the COVID-19 pandemic, UCSD will be restricting rotations at UCSD-affiliated sites to UCSD students only for the upcoming academic year 2021-22, with the exception of Blocks 3, 4, 5 and 6 (which will be available on VSAS/VSLO to highly-competitive visiting students who plan to apply to emergency medicine residency at our program). These start dates are firm; students may not start their 4-week rotation at any other date. Blocks 1 and 2 are reserved for UCSD medical students potentially interested in applying to emergency medicine for residency.

EMED 225: Introduction to Emergency Medicine

We offer an eight week clerkship in Emergency Medicine, supervised by Jorge Fernandez, MD (jaf014@health.ucsd.edu). The clerkship administrative coordinator is Jessica Ramirez (jmr009@health.ucsd.edu). First and second year UCSD students are encouraged to apply for this rotation.

The rotation includes a combination of clinical shifts and didactic teaching. The objectives are to:

  • Learn about the many disciplines within Emergency Medicine (ie, EMS, Disaster Medicine, Toxicology, Ultrasound, Hyperbaric Medicine)
  • Gain exposure to the varied clinical settings of Emergency Medicine
  • Attend clinical observational shifts in the ED while practicing physical examination.

To apply for the rotation please contact Denise LeStrange at the UCSD Office of Student Affairs at (858) 534-6002 or (dlestrange@ucsd.edu).

EMED 275: Wilderness Medicine

We offer a nine week elective in Wilderness Medicine, supervised by Karen Van Hoesen, MD (kbvanhoesen@health.ucsd.edu) and Christanne Coffey (chcoffey@health.ucsd.edu). The clerkship administrative coordinator is Jessica Ramirez (jmr009@health.ucsd.edu). First and second year UCSD students are encouraged to apply for this rotation.

The rotation includes a combination of didactic teaching weekly on Tuesdays, from 1-3pm along with a simulation hike through Torrey Pines at the end of the course. EMED 275 is a practical course covering diagnosis and treatment of injuries and illnesses encountered in the wilderness environment including cold, heat, high altitude, diving medicine, outdoor orthopedic trauma, plant and marine life poisonings, and survival in the wilderness.

Elective Dates: Course is offered during the fall semester.

EMED 411: Third Year Course

This 2 week selective was designed to offer a new opportunity to the medical students to gain an earlier exposure to emergency medicine that is supervised by Jorge Fernandez, MD (jaf014@health.ucsd.edu). The clerkship administrative coordinator is Jessica Ramirez (jmr009@health.ucsd.edu).

The students will learn basic medical resuscitation skills, gain exposure to EM patients by taking histories, physical exams, creating differential diagnoses from the EM perspective, identifying ‘killer EM” diagnoses, identifying appropriate diagnostics tests, and interpreting these tests. There also are hands on sessions with ED Technicians and Nurses to assist with performing and interpreting bedside diagnostic tests and procedures.

EMED 420: Emergency Medicine Clerkship

We offer a four week fourth year clerkship in Emergency Medicine, supervised by Jorge Fernandez, MD (jaf014@health.ucsd.edu). The clerkship administrative coordinator is Jessica Ramirez(jmr009@health.ucsd.edu). Students from outside of UCSD are encouraged to apply for this rotation through VSAS (Visiting Student Application Service).

The rotation includes a combination of clinical shifts and didactic teaching. To be eligible for the grade of Honors, a presentation is required at the end of the rotation.

To apply for the rotation, please visiting the UC San Diego School of Medicine institution page on the AAMC’s Visiting Student Application Service (VSAS). Students who attend LCME-accredited medical schools that do not use VSAS should contact visitingstudents@ucsd.edu for a paper application. If any difficulty is experienced trying to schedule the rotation please contact the course director Jorge Fernandez. Please see below for more opportunities to rotate in an emergency medicine subspecialty.

This course will allow students to function as sub-interns in the evaluation and treatment of acute, undifferentiated patients at UCSD Hillcrest and La Jolla Emergency Departments. Students function as subinterns with primary responsibility for the initial evaluation of patients. Students will be under the direct supervision of the Emergency Medicine (EM) faculty and will present cases to the EM faculty and EM senior resident. Students are required to write the primary note with review by senior house officers or faculty. Thursday mornings will be dedicated to student teaching day with didactic lectures and procedure labs. Tuesdays will be devoted to didactics which will include the Emergency Medicine Case Conference, Core Curriculum Conference, Toxicology Conference, Research Curriculum Conference, Trauma Conference, and monthly Grand Rounds. All students are required to attend Tuesday and Thursday conferences and workshops. All students will be required to work a minimum of 2 night shifts. EM Faculty and EM resident(s) teach and assess clinical performance with evaluations each shift. Interviews for the UCSD EM residency will not occur during the rotation; interview offers will at a later time be sent to a selective number of rotators based on the overall competitiveness of their residency application."

EMED 423: Medical Toxicology Clerkship

We offer a four week fourth year clerkship in Emergency Medicine, supervised by Aaron Schneir M.D.(aschneir@health.ucsd.edu). The clerkship administrative coordinator is Jessica Ramirez(jmr009@health.ucsd.edu). Outside students are encouraged to apply for the rotation. Due to a UCSD policy, these positions first become available to visiting students in October. The toxicology service provides bedside consultations at four local hospitals including both UCSD Medical Centers. The rotation involves participating in weekly journal clubs, receiving bedside and didactic teaching, participating in daily rounds on hospitalized patients, and taking call with the toxicology fellows. A didactic presentation is required at the end of the rotation.

To apply for the rotation, please visiting the UC San Diego School of Medicine institution page on the AAMC’s Visiting Student Application Service (VSAS). Students who attend LCME-accredited medical schools that do not use VSAS should contact visitingstudents@ucsd.edu for a paper application.

 

EMED 425: Emergency Ultrasound

We offer a four week fourth year clerkship in Emergency Ultrasound, directed by Anthony Medak, MD (ajmedak@gmail.com). The clerkship administrative coordinator is Jessica Ramirez(jmr009@health.ucsd.edu). Both UCSD and visiting medical students are encouraged to apply for the rotation. The clerkship is designed to allow students to perform and interpret bedside, focused ultrasound studies that guide clinical management of acutely ill patients. There will be an array of experiences during the rotation including: the Emergency Department, echocardiography lab, Radiology Department, as well as didactics by our Emergency Ultrasound Faculty and Fellows. Rotating students will also participate in Ultrasound Journal Club, and Image Review sessions. A didactic presentation is required at the end of the rotation.

To apply for the rotation, please visiting the UC San Diego School of Medicine institution page on the AAMC’s Visiting Student Application Service (VSAS). Students who attend LCME-accredited medical schools that do not use VSAS should contact visitingstudents@ucsd.edu for a paper application.

EMED 427: Medicine in the Wild: A Fourth-Year Student Clerkship in Emergency and Wilderness Medicine

We offer a four week clerkship in Wilderness Medicine, supervised by Karen Van Hoesen, MD (kbvanhoesen@health.ucsd.edu) and Christanne Coffey, MD (chcoffey@health.ucsd.edu). The clerkship administrative coordinator is Jessica Ramirez (jmr009@health.ucsd.edu). Fourth year medical students are encouraged to apply for this rotation. The rotation includes a combination of wilderness medicine didactics and experiential learning along with high yield preparation for MS4s who will soon begin an emergency medicine residency.

Week 1 to Week 3: Each day will include lecture-based learning, journal club or presentation, followed by hands-on simulations on the UCSD campus or in the San Diego area. Activities include, but are not limited to:

  • Combined wilderness medicine/toxicology journal club
  • Diving/Hyperbaric journal club, case reports, and lectures the first Tuesday of the month
  • Kayaking in La Jolla cove with lectures on drowning, water rescue
  • Birch Aquarium tour with lectures on shark attacks and marine envenomations
  • Climbing with lectures on wilderness orthopedic injuries, litters, improvisation
  • Mercy Air tour with prehospital medicine lecture
  • Hiking with various wilderness medicine lectures
  • Survival lecture followed by movie matinee showing of a survival film
  • Wilderness orthopedic lectures with simulation: fractures, dislocations, splinting, concussions
  • Search and Rescue demonstration with San Diego Mountain Rescue Team
  • Extreme sports round table or expedition medicine presentation
  • Intro to orienteering at a local San Diego park


Week 4: Joshua Tree National Park, Big Bear or Idyllwild Trip - Each day will include at least 4 hours of lecture-based learning followed by outdoor, hands-on simulations, camping, hiking, climbing and a backpacking experience that includes one to two night(s) camping in the backcountry.

 

To apply for the rotation, please visiting the UC San Diego School of Medicine institution page on the AAMC’s Visiting Student Application Service (VSAS). Students who attend LCME-accredited medical schools that do not use VSAS should contact visitingstudents@ucsd.edu for a paper application.

EMED 473: Subinternship in Diving and Hyperbaric Medicine

We offer a four week fourth year clerkship in Diving and Hyperbaric Medicine, supervised by Charlotte Sadler, MD (csadler@health.ucsd.edu). The clerkship administrative coordinator is Jessica Ramirez (jmr009@health.ucsd.edu). Outside students are encouraged to apply for the rotation. The rotation takes place both at the Hillcrest hospital as well as off-site clinics. The furthest off-site is 26 miles from UCSD Hillcrest so transportation will be needed. Rotators will learn to assess clinical problems relating to diving and clinical hyberbaric medicine. The student will take call and will participate in clinics, discussions of cases, and receive didactic teaching. Students will be expected to participate in journal club and present a lecture on a mini-topic discussed during their rotation. A final 20-question exam will be administered at the end of the rotation.

To apply for the rotation, please visiting the UC San Diego School of Medicine institution page on the AAMC’s Visiting Student Application Service (VSAS). Students who attend LCME-accredited medical schools that do not use VSAS should contact visitingstudents@ucsd.edu for a paper application.

Emergency Medicine Clerkship Leadership

Jorge Fernandez headshot
Jorge Fernandez, MD, Student Clerkship Director

 

Jessica Ramirez headshot
Jessica Ramirez, Student Clerkship Coordinator