Students will work alongside emergency medicine faculty and senior level residents caring for patients in a high volume emergency department. Students will work three, eight hour ED shifts, and will also attend weekly emergency medicine conferences. Total time expectations will be 25-30 hours per week.

Students will gain familiarity with a high performance prehospital EMS system. Along with EMS faculty and staff, they will attend various standing administrative meetings, and weekly emergency medicine grand rounds/simulation. They will complete two 8-hour ride along shifts with paramedics and one 8-hour ride along shift with medical first responder firefighters. Total time expectations will be approximately 25-30 hours per week.

This elective focuses on the planning, development, and/or execution of a research project as a means of understanding the entire research process in depth. The course stresses the integration of research into medical practice. Appropriate readings and periodic discussions will be used to augment the guided project development effort. The ultimate goal of this elective is to complete and publish one paper in a peer-reviewed journal, or present the student's work in an appropriate research forum.

Students also attend all regular weekly Emergency Medicine resident and student conferences during the elective. Students' duty schedules are adjusted to accommodate these educational sessions.This elective requires approval.

This elective focuses on the planning, development, and/or execution of a research project as a means of understanding the entire research process in depth. The course stresses the integration of research into medical practice. Appropriate readings and periodic discussions will be used to augment the guided project development effort. The ultimate goal of this elective is to complete and publish one paper in a peer-reviewed journal, or present the student's work in an appropriate research forum.

Students also attend all regular weekly Emergency Medicine resident and student conferences during the elective. Students' duty schedules are adjusted to accommodate these educational sessions. This elective requires approval.

This elective offers students the opportunity to learn about and experience pre-hospital and disaster medicine through a series of structured didactic sessions and hands-on field experiences. This elective is made possible by several partnerships: WMed Department of Emergency Medicine Division of EMS, Kalamazoo County Medical Control Authority, Kalamazoo Department of Public Safety, Oshtemo Township Fire Department, Kalamazoo County 911 Dispatch, Life EMS, and PrideCare.

EMS is a relatively new specialty in the house of medicine, becoming an ABEM Boarded subspecialty in September 2010 with the first certification exam being administered in 2013. The Kalamazoo County EMS system is a high-performance single tier ALS system with countywide BLS first responders. Serving a population of a quarter million, the EMS system is made up of four ambulance services covering designated areas of the county and sixteen first responder agencies - fire departments and public safety.

The four-week curriculum is broken into 4 topic blocks, including history of ems, introduction to medical direction and system design, quality improvement and finance, and special ops. The NAEMSP textbook and online FEMA resources will be utilized. Students will ride along with our physician-staffed medical support unit twice a week, spend a day with a fire department/public safety agency, and observe emergency call taking and dispatching at a 911 and ems dispatch center. Additionally, students will participate in monthly local and regional meetings, weekly fellow didactics and emergency medicine grand rounds, monthly SIM lab, and monthly EMS case review. The course concludes with a written exam based on the 4 topic blocks and a written course evaluation. The course readings, exam, and evaluation will be available through an online learning platform, Moodle. Students may work ahead on assignments. Course faculty include WMed EMS Fellowship faculty/fellows and WMed EM senior residents.

The Yellowstone EMS elective offers WMed students an opportunity to have an immersive experience learning about wilderness and austere EMS within Yellowstone National Park (YNP) through a unique partnership between WMed and YNP. Students must be approved by the Elective director(s) prior to applying and due to popularity of the elective, a lottery system will ultimately be used to select students for participation in the elective.

Students will need to provide their own travel to/from YNP, but will have transportation provided within the Park. YNP-provided housing is subject to availability. During the elective, students will receive an orientation to the YNP EMS System and tour components central to the operation of the prehospital system, including Base Stations, Fire Departments, ambulances and winter rescue vehicles, clinics, and training facilities/classrooms. Students will ride along with ambulance crews while responding to 911 calls and transporting patients to clinics or hospitals. Students will also respond to technical and backcountry rescues. Students will be involved in teaching and facilitating didactic sessions for prehospital providers. Students are directly supervised by YNP EMS Providers, on-site WMed faculty, fellows, and senior residents. Students will have indirect supervision by the YNP EMS Medical Director and WMed EMS faculty members at all times.

The Advanced Emergency Medicine Clerkship provides an in-depth experience with a diverse patient population across all ages and a wide range of pathological conditions in the emergency department. Students will be immersed in a fast-paced clinical environment, where they will learn to perform initial patient assessments and formulate differential diagnoses. They will present cases to senior residents or attending physicians, write orders, interpret diagnostic studies, and discuss patients with consultants.

A key component of the clerkship is the recognition and management of sick patients and abnormal vital signs, as well as emergent conditions. Students will develop skills in identifying and responding to life-threatening situations, ensuring timely and appropriate interventions. They will also learn to prioritize patients based on the severity of their conditions and manage multiple patients simultaneously.

Students will gain hands-on experience by performing or assisting with procedures under supervision, such as suturing, intubation, and placing intravenous lines. They will also write discharge instructions, facilitate admissions and transfers, and learn to communicate effectively with patients and their families during stressful situations.