Acting Internship Proposal for Emergency Medicine

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Acting Internship Proposal for Emergency Medicine

• Tom Morrissey
• Rich Stair
• Robin Hoelle
• Dave Caro

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Overview

• EM as a UF elective rotation (prior to 2001)
• GV sees mostly UF students who want exposure to
  ED (? students/year)
• Jax sees mostly non-UF students interested in
  applying for EM residency (35 40 students/year)

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Overview

• EM student oversight prior to 2001
• GV EM attendings
• Jax EM residency structure is PGY 2-4 until
  2000, so most oversight is EM attendings and
  4th-year residents.

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Overview

• EM as a required 4th year clerkship 2001
• Significant increase in number and makeup of
  students (approx. 40/year to gt 100)
• Significant increase in utilization of Jax ED
• EM residency at Jax has changed program format
  (now PGY 1-3)
• Attending staffs at both institutions are
  increasing in size, but not at pace of student
  numbers

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Unique rotation structure

• Shifts
• Templated schedule to allow increased number of
  students
• Not paired with a single attending
• Increased reliance on shift evaluations from both
  attendings and PGY 2 and 3 residents
• Weekly didactic meetings

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Potential Rotation Difficulties

• Relative anonymity of students
• Varied attending schedules, especially
  residency/student administrators
• Templated student schedule
• Dichotomous class interests
• Continued need to mentor, appraise, and write
  LORs for students interested in EM
• Loss of ability to give a detailed analysis of EM
  students abilities

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What to do?

• Separate rotation for EM-interested?
• Maintain current experience for non-EM track
• Add-on to this to create a career-oriented
  experience
• Separate, but parallel track

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What to do?

• Separate rotation for EM-interested?
• Mirror PGY-1 schedule
• Increase academic requirements
• Increase clinical workload
• Enable mentoring of EM-interested students
• Increased ability to write detailed LORs for
  other EM programs

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(No Transcript)
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Specific Questions

• What do we call this rotation?
• Acting Internship not to be confused with
  required UF Sub-internship
• Career Track
• ? others ?

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Specific Questions

• How do we grade?
• Letter grade for AI, Pass/Fail for required?
• Letter grade for all?
• How does the AI compare to the required?

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Specific Questions

• Other concerns?