EMEU-4006 - Medical Toxicology - 4th Year (2-Week Elective)

EMEU-4006 - Medical Toxicology - 4th Year (2-Week Elective)

Elective Title: Medical Toxicology - 4th Year (2-Week Elective)
Course Number: EMEU-4006
Elective Type: career Duration/Weeks: 2 Max Enrollment: 2
Prerequisites: Successful completion of Year 3
Additional Requirements: Successful completion of year 3 and prior-approval from the Southeast Texas Poison Center Medical Director.
Responsible Faculty Director: Bryan Wilson,MD Periods Offered: 1-13 including holiday period 8 
Coordinator: Shelby Reed Other Faculty:
Location to Report on First Day:
Southeast Texas Poison Center, 3.112 Trauma Bldg

Goals
The goal of this rotation is to provide exposure and broad overview of the medical toxicology and poison center operations to students considering pursuing a career in the specialty.

Objectives
1. Describe the specialty of medical toxicology.
2. Explain the initial evaluation of a patient exposed to hazardous substances.
3. Describe the most common toxidromes and their treatment.
4. Explain the role of the poison center in the care for patients exposed to hazardous substances.

Description of course activities
This course introduces students to the specialty of Medical Toxicology, a sub-specialty available to all specialties but hosted by the American Board of Pediatrics, American Board of Preventative Medicine, and the American Board of Emergency Medicine. The course will take place at the Southeast Texas Poison Center and include a broad overview of the specialty of medical toxicology, the core principles of evaluating patients exposed hazardous substances, common toxidromes and their treatment, and the function of poison centers. Students will primarily be evaluated on their level of engagement while participating in answering calls the poison center receives, engagement during didactic sessions, and completion of their assigned presentations. Students will additionally have the opportunity to show participation through involvement with the poison centers public education efforts, research, and/or QI efforts. During the independent study time, students will complete reading and asynchronous learning assignments, prepare their talks, and take advantage of any ad-hoc opportunities such as national webinars, presentations with our public health educators, research projects, quality improvement projects, etc.

Type of students who would benefit from the course
This course was developed for fourth year medical students with a strong interest in medical toxicology and who are considering pursuing a fellowship in medical toxicology after their residency.

    Weekly Schedule
          Estimated Course Activities (Start-Time/Finish-Time):
Day of Week   AM   PM
Monday Poison Center Phone Calls Independent Study
Tuesday Didactics/Case Review Misc
Wednesday Poison Center Phone Calls Independent Study
Thursday Didactics/Case Review Presentations/Misc
Friday Independent Study Independent Study
Saturday
Sunday

 Average number of patients seen per week:
 Call Schedule: No

Research / Other Course Activities
(estimated schedule)
Activity Hours per Week
Faculty Contact-Time 20
Self-Directed Study 20
Data-Collection/Analysis
Other


Method of Student Evaluation
1.  Clinical Observation
  A. Where are students observed on this elective?
    Inpatient Service   Ambulatory   Surgery   Standardized patients
Patients simulators   Other
  B. Frequency - How often are students observed clinically?
    Twice a week
  C. Format - What method(s) are used to document the student's clinical performance?
    Daily oral feedback   End of period oral feedback   Written feedback
Other

2.  Oral Presentation
  A. Audience - To whom does the student present?
    Poison center staff
  B. Frequency / Duration of Presentation(s)?
    Once a week
  C. Format - What guidelines are set for the student's presentation?
    A 30 minute presentation on a toxicology topic of the student's choosing.
  D. Assessment - Who assesses the student's presentation performance?
    Self-assessment   Peer assessment   Faculty assessment
  E. Method of content selection
    Current cases  Student-selected topic   Assigned topic

3.  Written Assignment (H&P's, notes, papers, abstracts, etc.)
  A. Frequency of written assignment(s)?
   
  B. Format - What guidelines are set for the student's written work?
   
  C. Length of written assignment(s)?
    Abstract   Annotated bibliography   1 - 2 page paper   3+ page paper
  D. Are recent references required?   No    If yes, how are they selected?
   
  E. Method of content selection - e.g. student-selected, relate to cases, etc.?
   
  F. Audience - Who assesses the student's written performance?
    Peer Assessment     Faculty Assessment     Other

4.  Examination
  Format
    Oral   Written multiple choice   Written essay / short answer   OSCE
Other

5.  Extra Course Activities
  What expectations do you have for the student to demonstrate participation in the elective (e.g. small group activities, seminars, thoughtful questions, providing resources, journal club, resident lecture attendance)?
    Students will primarily be evaluated on their level of engagement while participating in answering calls the poison center receives, engagement during didactic sessions, and completion of their assigned presentations. Students will additionally have the opportunity to show participation through involvement with the poison centers public education efforts, research, and/or QI efforts. During the independent study time, students will complete reading and asynchronous learning assignments, prepare their talks, and take advantage of any ad-hoc opportunities such as national webinars, presentations with our public health educators, research projects, quality improvement projects, etc.

6.  Additional Costs
  Please list any additional costs and/or purchases (books, materials, movies to watch, etc.) that are required for this course. Include an estimated total cost. If there are no additional costs, please enter "None".
    None

7.  Other Modes of Evaluation
  Please explain below.
   

8.  If this course is an Acting Internship, please complete the following:
  A. Objectives for the AI should relate directly to the Entrustable Professional Activities (EPAs). Each AI should describe how the four key Year-4 EPAs that our school has identified as being Year-4 skills are assessed. The Year-4 objectives are:
1. Entering and discussing orders/prescriptions.
2. Give or receive patient handover to transition care responsibility.
3. Recognizing a patient requiring urgent or emergent care and initiating management.
4. Obtaining informed consent for tests and procedures.
Specify how the student will be given formative feedback on their clinical skills.
   
 
B.
Year-4 students should demonstrate mastery of EPAs they developed in the clerkship year, including recommending and interpreting common diagnostic and screening tests, and performing general procedures of a physician. They should be able to demonstrate masterfully and independently skills they mastered in Years 2-3, including efficiently performing comprehensive admission-notes and succinct daily progress notes and perform accurate, concise, and hypothesis-driven clinical presentations, form clinical questions and retrieve evidence to advance patient care. They should be able to demonstrate basic understanding of and beginning mastery of collaborate as a member of the interprofessional team and identify system failures and contribute to a culture of safety improvement.

List advanced clinical skills that a student will be assured an opportunity to practice.
   
 
C.
How specifically will this AI build on developing skills from the clerkship year to prepare students for internship?
   
 
D.
What opportunities will typically be available to all students who take this AI (procedures, required presentations, etc.)? What opportunities may be available based on patient load/presentation or student initiative (ie. Writing a case report)?
   
 
E.
An AI should have expectation of a minimum of 32 hours per week of clinical responsibilities. Duty hours should be capped at ACGME limits for an intern, thus up to 24 hours followed by 4 hours of activities related to patient safety, education, and handoff. Students cannot work more than 80 hours per week averaged over 4 weeks. They can only have 1 day off in a 7-day work week with 8 hours off between shifts.

Clinical responsibilities will vary depending on specialty, but how is the student functioning with work commensurate to a PGY1 with an appropriate level of training?
   
 
F.
How is the student demonstrating drawing clinical conclusions and/or developing a management plan and documentation as an intern would do?
   
 
G.
How and by whom will midpoint feedback be provided to the student? How will you remediate deficiencies identified at midpoint?
   
 
H.
Acting Internship students often seek letters of recommendation following their experience. How many different Faculty will work directly with the student and have knowledge of the student's abilities to detail in a written evaluation? Describe the degree of supervision and interaction with faculty vs. residents or other providers and how feedback will be obtained if more direct work is with residents or other providers.