Medical Student Clerkships

The University of New Mexico Department of Emergency Medicine welcomes visiting medical students to participate in final year elective clerkships. Clerkships for visiting students are coordinated by the Office of Medical Student Affairs. Please click here for registration, guidelines, and the course catalog for all UNM HSC clerkships.

Disaster Medicine Elective

The University of New Mexico is pleased to offer an advanced sub-internship in Emergency Medicine, emphasizing principles of disaster medicine and practicing medicine under austere conditions (wilderness/international/pre-hospital). Students will have the opportunity to take part in hands-on training in disaster medicine including participating in preparedness and medical response for university, local and state-wide events, touring the New Mexico State Laboratory to learn about the state response to biological disasters, interaction with large response agencies including the New Mexico Task Force-1 Urban Search and Rescue Team and NM-1 Disaster Medical Assistance Team, and introducing students to the range of first responder involvement in disasters including search and rescue, tactical medicine and EMS/medical direction. Students will be trained in the basic principles of disaster medicine and management, mass casualty triage, patient decontamination, and the medical management of large scale events. They will be given the opportunity to complete training requirements for national DMAT and US&R teams. The sub-internship will also include shadow shifts in the Emergency Department of the University of New Mexico, the only Level 1 trauma center in the state.

The Disaster Medicine Elective is made up of four major components:

Lecture Series

Lecture Series Includes:

  • Disaster Medicine Building Blocks
  • Introduction to Confined Space Medicine
  • Blast Injuries
  • Radiation Injuries
  • Crush Syndrome
  • Disaster Medicine Myths and Practice
  • Disaster Medicine Research
  • ABCs of Emergency Response
  • Physicians Without Borders: Medical Missions Abroad
  • Improvisational Medicine
  • Use of Ultrasound Under Austere Conditions

Practical Experience

New Mexico Task Force 1

canine-sandr

One of 28 national Urban Search and Rescue teams, NMTF-1 responded to both the Pentagon and the World Trade Center events in 2001. They were deployed to both Hurricanes Katrina and Rita in 2005. UNM provides the medical direction for the team. Students can complete the FEMA requirements for USAR membership, and may participate in confined space rescue, canine search, and technical search and rescue.

New Mexico Task Force 1

NM-1 Disaster Medical Assistant Team

eco-resusThis was the first DMAT team created in the United States in the 1980s.
life-supportUNM provides medical direction for NM-1 DMAT and the team members include medical staff from UNM and from all areas of the state. This team has had numerous deployments including Hurricane Katrina and the Haiti Earthquake, and provides the medical response yearly for the Bataan Memorial Death March in White Sands, NM. Students will interact with DMAT logistic and medical staff during the rotation, with demonstrations and presentation regarding previous deployments and the current state of the NDMS.

NM DMAT 1

Tactical EMS (Tems)

tactical-medicine

UNM provides the medical direction for the Bernalillo County SWAT Team and the New Mexico State Police, and provides technical medical assistance to the Albuquerque FBI and DEA SWAT Teams. Key issues in tactical medicine will be covered in lectures. A drill and tactical scenario will be coordinated for the students by the Medical Director.

TEMS

UNM EMS Consortium

ems-physician-suvThis is an organization of Emergency Medicine trained EMS Physicians within the UNM Department of Emergency Medicine who provide EMS medical direction and on-scene emergency response for the municipal fire departments of Albuquerque City and Bernalillo County, as well as partnerships with other surrounding EMS agencies.

There are several fellows annually who complete a rigorous year of training in pre-hospital medicine. Students will be provided a hands-on orientation to the Consortium response vehicles, equipment and dispatch technology, and may complete ride-alongs.

UNM EMS Consortium

Medicine Bow (MEDBOW)

This division of the UNM Center for Disaster Medicine provides on-scene medical support for mass gathering events, including sporting events for the University of New Mexico, concert and racing venues, and the New Mexico State Fair. UNM 

state-fairphysicians also provide medical direction for Medicine Bow. Students will accompany Medicine Bow crews to various events to experience mass gathering medicine first hand.

MEDBOW

Certifications

ICS 100, 200, 700, (800 optional)

Reading List

Textbook: Disaster Medicine, David E. Hogan and Jonathan L. Burstein (provided).

Relevant Articles covering major topics in Disaster, EMS, Tactical and International medicine will also be provided.

EMS Elective

EMS MEDICAL STUDENT ELECTIVE

The UNM Department Of Emergency Medicine offers a four-week elective in Emergency Medicine Services for UNM and visiting 4th year medical students.  The elective is directed by Doug Dixon, MD in conjunction with the UNM EMS Consortium, a group of UNM EMS Physicians and fellows which provides medical direction for multiple different local, regional, state, and federal EMS agencies. We provide on-scene and online medical control to Local, County, State and even Federal assets.  In addition to traditional Fire and EMS we are involved in many different specialty units including National Parks, Search & Rescue, Tactical Medicine and Flight Operations.  We oversee all levels of providers from EMT-Basics/Volunteers to Advanced Practice Paramedics and all levels in between.

Please follow the link to the application page for more information on applying for the rotation.

The student elective is made up of two basic components:

Clinical:

•  4-6 shifts in a variety of EMS locations, Local Fire and EMS Services
•  4 dedicated ride-alongs with current Fellows and Attendings
•  Participation in trauma and medical resuscitations as dispatched
•  Special Operations possibilities: TEMS, Flight Operations, Search & Rescue etc.

Didactic:

•  UNM EMS Fellowship/Consortium Meeting every Monday 0900-1200
•  One Journal Club Monthly
•  One “Capstone” project on final Monday ( Case report or ~ 10min PP presentation)
•  Various Local and State level meetings as available
•  Education Materials provided based on weekly didactics
•  Additional Readings as appropriate

Emergency Medicine Elective

The Department of Emergency Medicine at the University of New Mexico offers a 4 week elective in emergency medicine for 4th year medical students. We are a level I trauma center, university based teaching hospital and referral center and serve a diverse population of 1.5 million people. We are home to a nationally known residency program in emergency medicine and have active research programs in the areas of injury prevention, toxicology, international and disaster medicine, and infectious diseases.

The student elective is made up of two basic components:

Clinical

  • 14-16, 8 hour shifts in our emergency department
  • Primary patient care responsibilities for a wide variety of patients in the ED
  • Participation in trauma and medical resuscitations
  • One to one student/attending ratio
  • Dedicated teaching by 3rd year EM residents

Didactic

  • Student Conference on Wednesday from 8 am - 12 pm:
    • Two hours of lecture
    • Two hours of case discussion
  • Resident Conference on wednesday from 11 am - 4 pm
    • Lectures
    • Skills labs
    • Unknown case presentations
  • Skills Labs: We offer a suturing lab and a hands on ED US lab every month
    • Suturing Lab
    • Ultrasound Lab
    • Splinting Lab
  • Educational Material:
    • Textbook (Emergency Medicine a Comprehensive Study Guide: Tintinalli)
    • Power-point Lectures on a Variety of EM Topics
    • Suggested Reading List
    • Weekly Case Based Tutorial
    • Additional Articles and Readings

Emergency Ultrasound Elective

Emergency Ultrasound is a clinical elective that integrates clinical emergency medicine knowledge with technical bedside ultrasound skills. Didactics are in a small-group format, with powerpoint lectures, discussion and demonstration. Hands-on scanning will be with rotation preceptor, EM residents and EM faculty in the emergency department. Students will have plenty of opportunity for primary hands-on scanning, as well as small group scanning participation.

Students are expected to do outside reading and study, to document scans they perform, to attend all didactic sessions (5 hours/week), come to scheduled shifts with the rotation preceptor which may be weekday, weekend, day, eve or night shifts (4 hours / week), and additional hands-on scanning (11 hours/week). There are no specific research activities. There are also occasional EM Conference lectures or small-group sessions offered for EM residents that students are welcome and encouraged to attend and participate in.

Offered year-round: Contact Sandra Mirabal for availability or call 505-272-6524.

View Calendar: Click here.

Pre-requisites:

  • Phase II clerkships, at least one EM Clerkship

Objectives

At the end of the clerkship, the student should be able to:

  • Describe the basics of ultrasound physics, ultrasound equipment and image/control modification to maximize image quality.
  • Describe the utilization and application of clinician-performed limited bedside ultrasound and its differences from comprehensive ultrasound studies.
  • List the indications, scanning protocols, and limited emergency diagnostic possibilities for the common EUS applications.
  • Integrate existing clinical knowledge into use of bedside ultrasound.
  • Recognize normal and abnormal sonographic anatomy.

Gillian Baty, MD
Director of Emergency Ultrasound
Assistant Professor, Department of Emergency Medicine

Offered year-round: Contact Sandra Mirabal for availability or call 505-272-6524.

View Calendar: Click here.

This elective requires each student to sign up for a Moodle UNM account to access the Emergency Ultrasound Course content. The following are the directions for access:

Click on this link, Moodle Courses Online.
Create a new account with a "Username" and "Password".
Contact Dr. Baty to obtain your EUS course "Enrollment Key" password.
In Moodle UNM, scroll down left side navigation and click on "Emergency Medicine", then choose "Emergency Ultrasound Rotation" and enter Enrollment Key password.

Global Health Elective

The main objective of this course is to address core concepts in Global Health common to Developing Countries using Nepal as an example. The course is taught collaboratively on-site by faculty from UNM with extensive experience in teaching, clinical work and research in Nepal along with local and international experts in health care and public health. The curriculum includes site visits to government and non-government institutions including the national Ministry of Health and Population, USAID, WHO, and local organizations which are responsible for the practical day-to-day implementation of policies and delivery of care.

Responsibilities:
Participants are expected to read texts and articles in the course syllabus and be prepared to discuss key concepts during group meetings and site visits. Each student will prepare and present a journal club to the group (and possibly academic affiliates in Nepal) in conjunction with a faculty member.

Supervision and Teaching:
Sessions will be taught by core academic faculty from the US as well as health and development professionals based in Nepal. There will be close supervision of all activities, allowing participants continuous access to faculty for on-the-spot questions and discussions throughout the course.

Evaluation:
Students will be assessed by faculty based on observation of participation in various activities. They will also be given a final examination covering key concepts. An “Outstanding” grade will be given to those who show exceptional initiative and superior understanding of core subject matter, participate effectively in conferences and other activities, and perform in the top quartile on the final exam (must meet all of above criteria).

Additional information:
The course is held in the spring, generally during the month-long block spanning mid-April. For more information and to apply, please email Dave Wachter with the words “Global Health Nepal” in the subject. If applying, please send an informal application consisting of a current CV and a brief statement of interest (work and/or study experience in the Developing World or underserved communities, and expected future involvement in Global Health).

International Medicine Elective

international-medicine-logo

international collage

Welcome to the Wilderness, International and Improvisational Medicine at the 
University of New Mexico, Department of Emergency Medicine web site. 

Pediatric Emergency Medicine Elective

Wilderness and Austere Medicine Elective

University of New Mexico

What is wilderness and austere medicine?  It is the practice of medicine and well-being in remote and limited-resource settings where definitive medical care or rescue may be hours, days, or weeks away. A successful, well prepared practitioner should therefore have the physical, mental and spiritual fortitude to thrive in such an environment, where objective dangers (adverse weather, terrain, chaos, or other threats to life and limb) may also be present.

Why should I pursue such training? IF you anticipate being out in the mountains, desert, jungle, or sea, OR if you are a medical professional, guide, rescuer, or traveler who will be in a remote setting where unforeseen mishaps could occur, training would benefit you greatly. If you work in a chaotic, stressful or dangerous environment, such training would be advantageous to you. 

Many of our past participants have used this unique training as expedition leaders, as health care providers in extreme sporting events or disaster medicine, search and rescue specialists, international humanitarian workers in resource-limited settings, outdoor educators and researchers, and under unusual circumstances (as travelers delivering aid in a commercial airliner or cruise ship, or surviving one or more unexpected nights out). Many participants work in emergency health care, rural health care, and other medical disciplines, as well.  

What do your programs offer? We offer personal and on-line didactic training with case-based and scenario based wilderness and austere medical training, which meet the highest academic standards possible. In addition to our renown rotation elective, we offer the internationally recognized Diploma in Mountain Medicine (DiMM), and an exciting Wilderness, Austere and International Emergency Medicine fellowship for graduates of ACGME approved emergency medicine residency programs. We also offer exciting continuing education courses locally and internationally in mountain medicine, and marine medicine. Though our courses are physically and mentally demanding, our training can prepare you to be a resourceful individual, able to care for yourself, and others under any adverse condition. Not only will you become more confident in your medical expertise; your character and morale will also become stronger.

Why New Mexico? We are in Albuquerque, centrally located to areas where winter and summer activities can be had in a single day! Our department hosts one of the most highly sought after emergency medicine residency programs internationally, and our internationally renown faculty have had extensive experience in wilderness and limited resource healthcare domestically and internationally. Training with us will undoubtedly be one of the most rewarding and satisfying experiences of your life!

Student Conference

Every Wednesday morning from 8 a.m. to 12 noon the students meet with members of the faculty for their core educational conference.

The first hour of the conference is a lecture covering basic topics in EM chosen from the provided reading material. The lectures are case based, interactive, and feature digital photos, video and other reality enhancing tools.

The second and third hours are used for skills labs (suturing/US/etc.) and for "Student Rounds." Student rounds are your chance to bring a case to present and discuss. The students are encouraged to bring X-rays, ECG's and other materials to enhance the presentation. The faculty moderator helps to guide the discussion, bring up teaching points and answer questions. This has been one of the most popular portions of the conference.

At the end of conference the students have time to meet with Dr. Rimple to get feedback, and give feedback, discuss the rotation or address any other issues.

Resident Conference

The students are encouraged to attend the residents core conference on Tuesday mornings. This conference is the centerpiece of the residents formal curriculum. Attending this conference is a great way to meet faculty, residents and to learn about the program as well as learn some great emergency medicine! Feel free to attend all or part of the conferences while you are rotating in the ED.

The conference is divided up into three main parts:

The conference from 11:00 to 12:00 features a rotating set of topics. The first week each month, EKG reading is taught. The next Tuesday is devoted to a research and statistics conference, where this subject is taught by analyzing the emergency medicine literature. The third week will be devoted to a variety of topics, including EMS, ultrasound, administration, use of the laboratory, emergency psychiatry, communication skills, etc. The last week is devoted to reading X-rays brought in by a faculty radiologist.

The conference from 2:00 to 4:00 is the core conference. The emergency medicine curriculum is divided into 3 hour blocks, presented each week and extending over 18 months. The conferences are problem based and focus on actual ED patient presentations. Expert guest lecturers from other departments are often asked to participate. The conferences may include labs, such a suturing, use of ED equipment, airway management, and ballistics.

A noon conference, during which lunch is served is the weekly opportunity for EM faculty, residents and community physicians to meet and discuss interesting and illustrative cases. Each case is presented as an unknown and a participant works through the case with the aid of his or her colleagues. The ensuing general discussion about the case and management options often becomes quite heated! This is clearly the best part of the conference!

Skills Labs

We offer a variety of skills labs during the four week rotation including a suturing lab and ED Ultrasound Lab. These are specifically designed for upper level students with a variety of prior experience.

Suturing Lab:

torn-eartorn-ear-repairThis lab features a brief didactic presentation on wound care and suturing techniques followed by hands on practice using pigs feet. We focus on cosmetic closure of simple wounds, closure of deep tissue spaces, mattress sutures, special problems on the face and hands, and applying principles of wound care and anatomy to achieve an optimal result.

Ultrasound Lab:

This lab features a brief didactic presentation on the principles of US, and its use in the ED. Then, we practice a variety of US examinations (FAST, ABD, Cardiac, etc.) on normal volunteers followed by a trip through the ED looking for patients with positive US findings. This new addition to our skills labs is fast becoming the most popular!

Splinting Lab:

This new skills lab is up and running!

Click here for Power Point Presentation: Splinting Lecture

Educational Material

The student educational program is made up of the clinical portion plus four key didactic portions as described above. This page provides a list of suggested reading material. We review the cases as part of the Wednesday morning conference every week. Additional educational materials are available in the form of the lectures and review articles available on the CD ROM given to every student.

Suggested Readings

The following readings out of Tintinalli are your core material for the month. These chapters cover many of the main topics of importance in emergency medicine.

Each week there will be three cases with study questions for you to review. The cases will be discussed at the Wednesday student conference and through these cases we will cover the core material for the month.

Week 1

Airway Tintinalli: Chapter 14, 15
Shock and Sepsis Tintinalli: Chapter 26, 27, 28, 29
Trauma Tintinalli: Chapter 243

Week 2

Pediatric Emergencies Tintinalli: Chapter 110, 120, 122
Pain Management Tintinalli: Chapter 32, 33
Pregnancy Tintinalli: Chapter 100, 101

Week 3

Chest Pain Tintinalli: Chapter 45, 46, 47
Respiratory/Allergy Tintinalli: Chapter 30, 58
Abdominal Pain Tintinalli: Chapter 68, 69

Week4

Toxicology Tintinalli: Chapter 151
Neuro Emergencies Tintinalli: Chapter 220, 221
Endo Emergencies Tintinalli: Chapter 202, 203, 208

"Tintinalli" refers to Emergency Medicine: A Comprehensive Study Guide 5th Ed


 


We participate in the VSAS system. https://www.aamc.org/students/medstudents/vsas/

Please contact the Education Office if you have questions:

Beatrice Rodriguez
(505) 272-3833
E-Mail: bearodriguez@salud.unm.edu