Emergency Medicine Subinternship

Emergency Medicine Subinternship

Overview

Thank you for your interest in our emergency medicine subinternship! Harbor-UCLA Medical Center was established in 1978 as one of the first emergency medicine training programs in the country. Our busy, high-acuity county hospital is a level 1 trauma center, pediatric critical care and trauma center, disaster resource center, and STEMI receiving center that sees nearly 100,000 patients per year. We have a state-of-the-art Emergency Department that we moved into in 2014 which has three ultrasound machines in each pod in addition to a dedicated ultrasound machine and video laryngoscope in each resuscitation bay.

This subinternship is designed as an immersive clinical experience during which you will develop skills in the emergency medicine diagnostic and management approach, critical care, medical resuscitation, and management of both blunt and penetrating trauma. You will work closely with our outstanding residents and faculty in all levels of your patient’s care and participate in the didactic curriculum of the residency. We strive to cultivate the most robust clinical education in emergency medicine while providing you the opportunity to make a difference in the lives of our underserved population.

If you are interested in a rotation, please apply via the VSAS service through the AAMC. (Note: see COVID-19 statement below). If you have questions regarding rotation opportunities, please contact either the medical student coordinator (Ms. Jeanne Austin) or the medical student clerkship director (Dr. Manpreet Singh) for assistance (contact information below).

We appreciate your interest in our clerkship, and we look forward to having the opportunity to work with you!

Clerkship Overview

Rotations in the emergency department at Harbor-UCLA Medical Center are 4 weeks in duration for all visiting students; UCLA students can elect either a 3- or 4-week rotation, but those who plan to pursue a career in emergency medicine are encouraged to participate in the 4-week rotation to get the most exposure possible. Subinterns must be able to attend orientation on the first day of the rotation to ensure they have the proper badges and computer training prior to starting shifts.

Simulation

During orientation, we will have simulation exercises for you to get in the mindset of emergency medicine as well as to teach common presentations and management.

Ultrasound

We have state of the art ultrasound machines in our emergency department, and lots of them! We will train you to acquire and interpret basic bedside ultrasound images, giving you important diagnostic skills which you can further hone during your rotation.

Unembalmed Cadaver Lab

Depending on availability, we will have a 2-day unembalmed / lightly-embalmed cadaver procedure lab, where you will learn to do the essential procedures of our specialty. We practice intubation, laceration repair, chest tubes, resuscitative thoracotomy, lateral canthotomy, arthrocentesis, central venous catheterization, intraosseous access, and more!

EMS Ride-Along

One day will be spent on an EMS ride-along so that you can observe the care of our patients before they arrive at the emergency department.

Nursing Shift

You will shadow a nurse for one shift and help them start IVs, draw blood, attach patient monitors, place Foley catheters, and be able to see what our busy emergency department is like from the perspective of our nursing staff!

Weekly Conferences

You will join our residents for our weekly Thursday didactic conferences. The residents have protected time (the attendings and fellows staff the ED) to help build their core emergency medicine knowledge.

Application and Performance Review

The clerkship director offers an optional meeting to all medical students for one-on-one rotation performance and application feedback. It is suggested to meet with Dr. Singh during your rotation if you are interested in a SLOE.

Preparing For Your Clerkship

We are excited to work with you on your upcoming rotation! Please review the following items prior to your first day, to ensure you get the most out of your rotation.

Using the Electronic Medical Record System ORCHID (Cerner)

We have made some videos to help you understand how to better navigate the Electronic Medical Record (EMR) that we use. We will also be training you in-person on your orientation day, but review the information included beforehand to make your training more useful. Please open the YouTube training video link here and have a basic understanding of ORCHID prior to attending orientation.

Parking

Parking may be limited during your rotation. You may park in any unmarked spot, but please ensure you read all signs. The three-story parking garage (Lot D) only allows visitors to park on the top floor during most hours. You can check in for orientation in the D-9 building on the map and ask for Jeanne. Parking Map

Educational Resources

Ddxof (www.ddxof.com)

Ddxof is s a compilation of cases based on real patients, each inspiring an algorithm for the evaluation and management of their chief complaint or diagnosis.

EM Basic (www.embasic.org)

EM Basic is a great resource to hear podcasts of basic “approach to (symptom/complaint)” lectures as well as some core content. If you have a commute or need something to listen to at the gym or while running errands, this is a great way to fill that time.

emDocs (www.emdocs.net)

One of our faculty members, Dr, Manpreet Singh, is a co-founder of this website, which gives you great management pearls on everything EM-related.

Pediatric Emergency Playbook (www.pemplaybook.org)

A pediatric EM-based podcast made by our very own Dr. Tim Horeczko! If you’re interested in honing your critical pediatric emergency management, this is a great resource to go to.

PEMsource (www.pemsource.org)

Developed by our very own Dr. Kelly Young, this website is your source for all things pediatric emergency medicine. The website includes links to on-shift resources and PEM FOAM sites, as well as algorithms, guidelines, and the evidence behind it all.

WikEM (www.wikem.org)

WikEM is a great point-of-care reference when on a shift — it was also developed at Harbor by Dr. Ross Donaldson! Download it to your phone (we have WiFi in the ED!) and use it to look up important information before presenting your patient. A “must-have” app in the emergency department.

There are many other resources out there — our specialty has an outstanding online presence with Free Open Access Medical Education (FOAM / FOAMed). If you find any resources to be very helpful during your rotation, please let us know and we can add it to the website!

Apply

COVID-19 STATEMENT: Unfortunately due to the evolving nature of the COVID-19 pandemic we are unable to accommodate away rotators through VSAS at this time. Please check back for updates, we look forward to welcoming you to our department again soon!
Apply for a Clerkship

2021-2022 Academic Year Rotation Dates: To Be Determined

Rotations will start on the dates listed. All visiting students must participate in a 4-week rotation. UCLA students are required to do at least the 3-week rotation but it is suggested to do a 4th week if interested in emergency medicine.

  • Rotation dates for the 2021-2022 application cycle to be determined
Applications

Applications can be accessed online via VSAS. Please e-mail Jeanne Austin, the medical student coordinator, with any specific application questions.

Once you have been accepted for a rotation with us, you will also be required to meet all the requirements of the Department of Health Services at Los Angeles County for a rotation, which include:

  • Health Clearance Packet (E2 Form)
  • Background Investigation
  • Respiratory Fit Test
  • Online application

You can download all of the required files above as a .zip file here — please have them signed by a healthcare provider and e-mail them to the coordinator.

You must also complete a Workforce Member form at http://dhs.lacounty.gov/cef — when completing the form:

  • Select “New Assignment”
  • The Sponsor Facility is Harbor-UCLA Medical Center
  • The Sponsor Division is Emergency Medicine
  • The Sponsor Name is Manpreet Singh

Lastly, you will need Live Scan fingerprinting. Please see the instructions here. Please e-mail the coordinator with any questions about this process.

Contact Information

Jeanne Austin
Medical Student Coordinator
JAustin@dhs.lacounty.gov

Manpreet Singh, MD, MBE
Medical Student Clerkship Director
MASingh@dhs.lacounty.gov