Clinical Emergency Medicine
Mark Levine, M.D.
8th Floor Barnard Hospital
Division of Emergency Medicine
Washington University School of Medicine
Phone: 314-747-4156, Fax: 314-362-0478
Other Information: Contact Emergency Medicine Division
office at 314-747-4156 for scheduling at leass two weeks prior to the rotation.
Visting students and Washington Univesity medical students interested in completing a rotation in the Emergency Department may use the followiing links to make arrangements.
Visiting Student Links
Web Page: Curriculum Office
Application Service (VSAS): Visiting Student Application
Enrollment limit per period: 6
Valid start weeks for 4-week blocks are: Weeks 1, 5, 9, 13, 17, 21, 25, 29, 33, 37, and 41.
This rotation offers practical experience in the evaluation and management of acutely sick and injured patients. Students will function as subinterns, initially evaluating their assigned patients and developing a plan for further diagnostic studies and therapy. They will report to a senior level resident or an attending physician. The student can expect to get an opportunity to perform a wide variety of procedural skills such as suturing, splinting, peripheral and central venous access, and cardiopulmonary resuscitation. Shifts will be eight hours and students will rotate between day, evening and night shifts, including weekend shifts, in order to gain maximum exposure to all types of emergencies. Students are offered the opportunity to ride with EMS, though this is optional and not required or evaluated. Students desiring a letter of recommendation from any EM attending should take this WUSM IV Emergency Medicine rotation.
Please be advised that there is a limit of 3 to 5 days off the rotation during interview season; otherwise, students should arrange to take the elective at a different time during the year. Days off during the rest of the year will conform to university policy. Days off should be requested through the course coordinator, Mary Hummert one month prior to the beginning of the rotation for scheduling purposes. Students will also be scheduled for required weekend and overnight shifts and changes will not be allowed to the schedule unless approved prior to the start of the rotation by the course coordinator.
When you report for your first shift, you should find the senior resident or the attending to discuss your plan for picking up and presenting patients. You should see approximately one patient every two hours, understanding that this may increase or decrease due to the flow of patients through the department. You will be expected to be the primary provider for your patient while in the Emergency Department and follow up on labs, radiographic studies, and progress of your patient as well as taking the lead on admission/discharge planning, and discussions with consultants and primary physicians.
Your shifts will mimic those of the third year rotation (8 hour shifts, 7-3, 3-11, 11-7), but your schedule will rotate between the Emergent I area and the Trauma/Critical Care section. During your time in the ED, you will also be able to ride along with the St. Louis Fire Department Bureau of EMS. The last two weeks of your rotation, you will be working 1:1 shifts with an individual attending, allowing a closer evaluation of your progress and abilities for use in writing a letter of recommendation for those students who will be applying for a residency in Emergency Medicine.
Student time distribution: Outpatient 80%, Conferences/Lectures 20%; Primary Care 40%, Subspecialty Care 60%
Major teaching responsibility: Attendings Physicians and senior residents
(PGY 3 & 4)
Patients seen/weekly: 5 per shift
On call/weekend responsibility: Evenings and weekends; no on call