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Emergency Medicine

Department of Emergency Medicine, Augusta University

Dr. Zevallos is faculty at the Department of Emergency Medicine, Augusta University, USA

Patient Management Disclaimer
Visiting fellows are not permitted to independently manage patients during the program. All clinical activities are strictly observational unless explicitly authorized and supervised by the host institution and mentor in compliance with local regulations and institutional policies.

Host Mentor Opinions Disclaimer
The views, opinions, and educational plans expressed by host mentors in their program postings are solely their own and do not necessarily reflect the official stance of their affiliated university, institution, or organization.

Insurance Requirement Disclaimer
Applicants are required to maintain valid professional liability insurance and health insurance for the duration of their participation in the program. The host institution and program administrators assume no liability for any medical or professional issues that may arise during the fellowship.

Program Structure and Certification Disclaimer
The terminology and structure of visiting fellowships, observerships, electives, or traineeships may vary across institutions. These programs are designed to facilitate professional development and learning but are not typically board-certified or equivalent to accredited training programs leading to licensure or certification.

Main Areas of Interest

Emergency Medicine 4 week rotation

Preceptor: Dr. Zevallos

Course Objective

The objectives listed below should be used as a guide to focus your study during this portion of the course as well as in your clinical rotation. It is your responsibility to ensure that you have met these objectives by the completion of your Emergency Medicine rotation.

This elective will involve:

Clinic observation shifts with board-certified EM providers and interaction with EM residents.
Clinical ultrasound introduction and training.
Bedside procedure introduction and simulated practice.
Weekly conference attendance.
Potential for EMS (emergency medical service) ambulance ride-along or additional ultrasound dedicated training shift.

Certification of Completion: Yes
Ability to Request for Letter of Recommendation: Yes
Follow-up career guidance or assistance with residency applications: Yes

Specialties

Emergency Medicine

Techniques You Will Learn

By the end of this course the student will be able to:

Medical Knowledge

Describe the current approach to the emergent treatment of patients with acute coronary syndrome, respiratory emergencies and altered mental status
Describe the pathophysiology of shock and the appropriate treatment modalities used to care for the patient in shock
Demonstrate knowledge of common emergency conditions and their initial treatment including patients with abdominal pain and GI complaints, chest pain, respiratory distress, neurologic insult, trauma and burns, acute infections, poisonings, and environmental emergencies

Patient Care

Describe the initial first steps involved in treating a life-threatening emergency
Explain the concept of triage and how to prioritize attention to patients based on their medical need
Describe the special circumstances which arise during times of disaster, both man-made and natural
Describe appropriate indications for the use of Emergency Medical Services and the limitations of these services
Explain the approach to the initial diagnosis and treatment of undifferentiated acutely ill or injured patient
Describe the EMTALA law and how that affects the treatment of patients in the Emergency Department

Practice-Based Learning

Demonstrate appropriate response to constructive feedback
Identify areas for personal improvement and devise strategies for accomplishing this improvement

Communication Competencies

Demonstrate appropriate communication skills in the critique of work by colleagues

Professionalism

Demonstrate professional behavior in communication with colleagues and timely completion of assignments

Systems-Based Practice

Describe the role of the various members of the multidisciplinary team
Discuss the importance of the team approach to the care of the acutely ill or injured patient

An overview of the assignments to be completed is as follows:

WEEKLY ACADEMIC HALF DAY

These will be held once a week for approximately 2.5 hours. These sessions will include review of patient presentations, pathophysiology and treatment plans. In order to get the most out of the video-conference we ask that you have read / reviewed the required reading before conference starts.

WEEKLY ACADEMIC HALF DAY QUIZZES

A 10-question quiz will be given at the beginning of each weekly Academic Half Day. The questions come directly from the required weekly reading.

RUSH ASSIGNMENTS

You will be responsible for completing and documenting 3 bedside RUSH ultrasound exams prior to completion of the course. These will be reviewed and graded by credentialed ultrasound faculty.

In addition to submitting your RUSH ultrasound exams you will also complete a simulated case and quiz.

INTERPROFESSIONAL ACTIVITY

During the clerkship you will be responsible for interacting with a non-physician in the Emergency Department. This can include nursing staff, EMS personal, pharmacist, etc. You will need to log this encounter in one45 under the SPEL requirements.

EMERGENCY PROCEDURES COURSE (EPC)

During your rotation you will be scheduled to complete a course in emergency procedures. Prior to your scheduled course you will need to review the EPC materials posted in D2L to familiarize yourself with the procedures that will be taught.

Curriculum

WEEK 1: CARDIOVASCULAR, HEMATOLOGY, ENDOCRINE

CDEM Curriculum: https://saem.org/cdem/education/online-education/m4-curriculum

Approach To: Chest pain and Cardiac arrest.

Cardiovascular: Acute Coronary Syndrome, Thoracic Aortic Dissection, Acute Heart Failure

Endocrine & Electrolytes: Hyperglycemia, Hyperkalemia, Hypoglycemia, Thyroid Storm

Suggested readings from text (An Introduction to Clinical Emergency Medicine)

Chapter 1: Approach to the Emergency Patient (pages 3-18)
Chapter 4: Cardiac Dysrhythmias (pages 55-72)
Chapter 17: Chest pain (pages 221-236)
Chapter 31: HTN urgency / emergencies (pages 429-436)
Chapter 15: Bleeding (197-206)
Chapter 21: Diabetes related emergencies (pages 271-278)

WEEK 2: PEDIATRICS, SHOCK, ID

CDEM Curriculum: https://saem.org/cdem/education/online-education/m4-curriculum

Approach To: Shock, Poisonings, and Sepsis

Neurology: Meningitis & Encephalitis

Suggested readings from the text (An Introduction to Clinical Emergency Medicine)

Chapter 5: Severe Sepsis and Septic Shock (pages 73-86)
Chapter 6: Shock (pages 87-94)
Chapter 29: Fever in Adults (375-392)
Chapter 19: Crying and irritability (pages 245-255)
Chapter 28: Fever in Children (393-404)
Chapter 39: SOB - children (pages 531-544)

WEEK 3: RESPIRATORY, TRAUMA, MSK

CDEM Curriculum: https://saem.org/cdem/education/online-education/m4-curriculum

Approach To: Respiratory Distress and Trauma

Respiratory: Asthma, COPD, Pneumonia, Pneumothorax

Suggested readings from the text (An Introduction to Clinical Emergency Medicine)

Chapter 2: Airway Management (pages 19-40)
Chapter 38: SOB - Adult (pages 515-530)
Chapter 7: Traumatic Injuries (pages 95-114)
Chapter 25: Extremity Trauma (pages 333-356)
Chapter 16: Burns (pages 207-220)
Chapter 33: Low back pain (pages 449-460)

WEEK 4: GI, NEURO, GU

CDEM Curriculum: https://saem.org/cdem/education/online-education/m4-curriculum

Approach To: Abdominal Pain, Altered Mental Status, GI Bleed, Headache

Gastrointestinal: AppendicitisBiliary DiseaseSmall Bowel ObstructionMassive GI BleedMesenteric IschemiaPerforated Viscus

Genitourinary: Ectopic Pregnancy, PID/TOA, Ovarian Torsion, Testicular Torsion

Neurology: CVA, Intracranial Hemorrhage, Seizures & Status Epilepticus

Psychiatry: SuicidalAgitation

Suggested readings from text (An Introduction to Clinical Emergency Medicine)

Chapter 10: Abdominal Pain (pages 139-152)
Chapter 29: GI bleeding (pages 405-414)
Chapter 11: Abnormal Behavior (pages 153-162)
Chapter 14: AMS (pages 185-196)
Chapter 34: Pelvic Pain (pages 461-474)
Chapter 36: Scrotal Pain (pages 491-502)

Accommodation

Understanding Visa Requirements

Visa requirements for Non-US citizens and Permanent Residents: B1 visas are intended for temporary professional visitors traveling to the United States. The Program provides an invitation letter to apply for a B1 visa for 2-4 week clinical rotations/traineeship if the visitor meets the eligibility criteria. All applicants must demonstrate their intent to stay for a specific duration and leave afterward, possess the necessary funds to cover trip expenses, have a residence outside the U.S., exhibit strong ties to their home country, and meet the U.S. government's criteria for admission. The Program does not support individuals applying for J1, F1, or H1B visas. When applying for a B-1 visa, you must provide several documents to support your application. While the specific requirements may vary depending on your circumstances and the consulate or embassy where you apply, here are some commonly requested documents for a B-1 visa application:

Valid passport: Your passport should be valid for at least six months beyond your intended stay in the United States.
Visa application form: You must complete the nonimmigrant visa application form, typically the DS-160 form, online and print the confirmation page.
Visa application fee payment receipt: You must provide proof of payment for the visa application fee.
Photographs: You will be required to submit one or two passport-sized photographs that meet the specifications set by the U.S. Embassy or Consulate.
Invitation letter from the host institution detailing your traineeship. The most important thing is that you should not receive any stipend or salary during the traineeship.
Travel itinerary: Prepare a detailed itinerary that includes your intended travel dates, places you plan to visit, accommodation details, and any relevant travel reservations.
Supporting documents: Other appropriate documents, e.g., letters from your employer or evidence of your professional qualifications.
Financial documentation: It is important to demonstrate that you have sufficient funds to cover your expenses during your stay in the United States. This can be shown through bank statements, pay stubs, or other financial documents.
Ties to your home country: To establish your intention to return to your home country, you may need to provide documents that demonstrate strong links, such as proof of employment/schooling, property ownership, family ties, or educational commitments.

Disclaimer: Remember that the specific requirements and procedures can vary, so it is advisable to consult the U.S. Embassy or Consulate website where you will be applying or seek guidance from an immigration attorney for the most accurate and up-to-date information for your particular situation.

https://www.augusta.edu/ipso/b1-visitors.php

Fees and Program Logistics

This program has the following durations available:

Duration	Fee
2 weeks	$1,875.00
4 weeks	$2,375.00

This program allows Merit Applications. This program allows merit-based applications for virtual and onsite clinical and research programs. If you are successfully awarded under this category, Trialect or the host mentor will cover the tuition fee only. All applications will be evaluated based on merit. Due to the high level of competition, the chances of being selected under the merit category are quite limited.

Who Can Apply

All physicians and medical students interested in emergency medicine worldwide can apply.

Host Details

Host Name: Prof. Eric Zevallos

Affiliation: Department of Emergency Medicine, Augusta University

Address: Augusta University; 1120 15th Street; AF 1026 ;Augusta; Ga 30912

Website URL: https://www.augusta.edu/mcg/em/index.php#

Disclaimer:It is mandatory that all applicants carry workplace liability insurance, e.g., https://www.protrip-world-liability.com (Erasmus students use this package and typically costs around 5 € per month - please check) in addition to health insurance when you join any of the onsite Trialect partnered fellowships.

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