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 Searching Current Courses For Fall 2016

  Course: PAP 245
  Title:Emergency Medicine Clerkship
  Long Title:Emergency Medicine Clerkship
  Course Description:Prepares the physician assistant student to assess and manage patients within the setting of the emergency department. The student provides care to patients under the direct supervision of a practicing clinician (preceptor). Clerkships are 4 weeks long.
  Min Credit:3
  Max Credit:

  Course Notes: Previously PAP 266; title change 7/28/09 s@
  Origin Notes: RRCC
  Status Notes:

 I. Demonstrate within the appropriate practice setting the following skills:
 II. Obtain and document a complete medical history
 III. Perform and document a complete physical exam
 IV. Perform and document a focused physical exam
 V. Recognize normal and abnormal anatomy and physiology in a patient
 VI. Correlate abnormal physical examination findings to a given disease process
 VII. Generate a problem list
 VIII. Generate a differential diagnosis
 IX. Identify conditions that constitute a medical emergency
 X. Identify indications for hospital admission
 XI. Write a SOAP note
 XII. Write hospital admission orders, progress notes, discharge notes
 XIII. Write procedure notes
 XIV. Orally present: medical history, physical exam, differential diagnosis, treatment plan
 XV. Interact effectively within multidisciplinary teams
 XVI. Obtain a consultation
 XVII. Make a referral
 XVIII. Generate and deliver a patient education plan
 XIX. Develop and document a treatment plan
 XX. Develop and document a discharge plan
 XXI. Select appropriate clinical therapeutics and calculate dosages
 XXII. Use clinical therapeutics reference materials
 XXIII. Write a prescription
 XXIV. Explain and obtain informed consent
 XXV. Use universal precautions
 XXVI. Order & interpret laboratory tests
 XXVII. Order & interpret diagnostic imaging studies and procedures.
 XXVIII. Manage an airway and initiate and manage oxygen therapy
 XXIX. Initiate and manage IV fluid resuscitation
 XXX. Perform otoscopy
 XXXI. Perform ophthalmoscopy
 XXXII. Perform transillumination
 XXXIII. Obtain and evaluate vital signs: blood pressure, temperature, pulse, respiration
 XXXIV. Obtain and evaluate:  height, weight, head circumference, girth, BMI
 XXXV. Prepare and handle laboratory specimens
 XXXVI. Perform and interpret a urinalysis with microscopy
 XXXVII. Perform a KOH and saline wet prep
 XXXVIII. Perform a fingerstick for hematocrit and blood sugar evaluations
 XXXIX. Perform and interpret an electrocardiogram
 XL. Use sterile technique: set up and maintain a sterile field
 XLI. Perform surgical scrub, sterile gowning and gloving
 XLII. Perform wound closure:  suture, staples, adhesives
 XLIII. Recognize and apply splints and slings
 XLIV. Apply and remove casts
 XLV. Perform venipuncture
 XLVI. Give injections:  intramuscular and subcutaneous
 XLVII. Demonstrate adequate knowledge for use of the following:
 A. urinary catheterization
 B. spirometry; perform and interpret
 C. endotracheal intubation
 D. ocular tonometry
 E. nasal packing
 F. foreign body removal:  skin, nose, ears, eyes
 G. lumbar puncture
 H. anuscopy and hemorrhoid treatment
 I. dermal biopsy:  shave, punch, excision
 J. nasogastric ntubation
 K. incision and drainage of abscess
 L. local anesthesia including digital blocks
 M. ingrown toenail removal
 N. subungual hematoma, evacuation
 O. cerumen removal
 P. use of counseling techniques in a primary care setting
 Q. arterial blood gases
 R. auscultate/monitor fetal heart sounds
 S. central line insertion
 T. chest tube insertion
 U. flourescein stain eye exam
 V. joint injections
 W. nebulizer treatment
 X. normal spontaneous vaginal delivery
 Y. slit lamp
 Z. PEG  tube insertion and removal
 AA. wound debridement
 BB. reduction of dislocations and fractures
 CC. dictation of medical records and use of electronic medical record


 I. Symptoms
 A. Abdominal pain
 B. Chest pain
 C. Dyspnea or wheezing
 D. Fatigue
 E. Fever
 F. Generalized weakness or dizziness
 G. Pain
 H. Palpitations
 I. Syncope
 J. Altered mental status
 K. Dehydration
 L. Seizure
 M. Shock
 II. Abuse or assault (history or evidence of)
 III. Allergic reactions
 IV. Trauma
 V. Cardiovascular disease
 A. Congestive heart failure
 B. Ischemic heart disease
 C. Arteriosclerotic diseases
 D. Cardiac conduction disorders
 E. Cardiac murmurs and valvular heart disease
 F. Claudication
 G. Hypertension and hypertensive emergencies
 H. Peripheral edema
 VI. Respiratory disease
 A. Asthma
 B. COPD
 C. Pulmonary infections
 D. Pulmonary edema
 E. Pleural disease
 F. Upper and lower respiratory infections
 VII. Environmental disorders
 A. Bites
 B. Burns
 C. Environmental emergencies
 D. Toxicologic emergencies
 VIII. Dehydration and electrolyte disorders
 IX. Endocrine disorders
 X. Dermatologic complaints, disease and infection
 XI. Reproductive and genitourinary complaints, disease, and infection
 A. Pregnancy
 B. Renal complaints, disease, and infection
 C. Urologic and pelvic complaints
 XII. Hematologic disorders
 XIII. Immunologic disease and infection
 A. HIV/AIDS
 B. Rheumatologic complaints
 XIV. Injuries
 A. Eye injuries
 B. Foreign bodies
 C. Wounds or conditions related to wound healing
 XV. Eye, ear, nose, throat complaints, disease, and infections
 XVI. Gastrointestinal complaints, disease, and infections                              
 XVII. Mental health disorders including substance abuse
 XVIII. Musculoskeletal complaints, disease, injury, or infection
 XIX. Neurological complaints, disease, and infection


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Release: 8.5.3