Clerkship Coordinator: 
Sonya Martyna-Seaman / Emergency Medicine Program Manager

EMD 840 - Acute Resuscitation in Emergency Medicine Subinternship (AREM)

Special Note: 

*PREREQISITE REQUIRED: Emergency Medicine/Critical Care (EMD 845) course or equivalent course.

UA COM-T students may use Oasis to register for this course.

See Out-of-State/Visiting Student LINK: https://medicine.arizona.edu/education/degree-programs/md-program/visiti...

Year: 
Fourth-Year Only
Offered: 
All year-round
Prerequisites: 
Emergency Medicine/Critical Care (EMD 845) course or equivalent course.
Course Director: 
Christopher G. Williams, MD
Contact Phone: 
(520) 621-5300
Contact Email: 

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Goals and Objectives
Goals/Objectives: 

This elective is designed to provide students with an intensive patient care experience, serving in an intern-like capacity in the emergency department. Students will become more familiar with common emergent problems and develop further practice habits for approaching more complex medical and surgical emergencies. Sub-interns will function like an intern but remain under resident or attending supervision and guidance. Thus, they will provide care for assigned patients in the emergency department, perform history and physical examinations, create an assessment and management plan, write orders (under direct supervision of a resident and attending), and determine the proper disposition of the patient. Sub-interns will attend and participate in EM residency conferences as well. When not working clinically, students will be expected to study emergency medicine resources in preparation for the SAEM exam at the end of the rotation. 

Course prerequisite: EMD 845 - Integrated Emergency Medicine & Critical Care (EM-CC) Clerkship Rotation or equivalent. 

 

Educational Objectives

This elective is designed to provide students with an intensive patient care experience, serving in an intern-like capacity in the emergency department. During this course students will:  

  • Become familiar with common emergent problems.  
  • Hone bedside history and physical examination skills.  
  • Participate in the resuscitation of sick medical and trauma patients in the ED. 
  • Be directly involved in patient care in the ED. The student will act like the patient’s primary provider, performing appropriate procedures, documenting the patient’s ED course in Cerner, and discussing the patient with physicians and consultants from other services. (They will be supervised throughout.)  

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Course Requirements
Course Requirements: 

AREM Curriculum: The original CDEM curriculum was crafted with an audience for M4 students. It was designed to capture the most common conditions a fourth-year student would encounter while rotating in the emergency department (ED). Manthey DE, Ander DS, Gordon DC, et al. Emergency Medicine Clerkship Curriculum: An Update and Revision. Acad Emerg Med. 2010;17(6):638-643.  LINK: https://www.saem.org/about-saem/academies-interest-groups-affiliates2/cd...

14 END of Clinical Shifts

Qualtrics Survey/Assessment submittals: Students will need to collect 14 END of Clinical Shifts Survey/Assessment from EACH assigned shift.  Failure to collect will result in a 7 % deduction from the overall grade.  

Types of shifts will include:

  • 1 Pharmacology Shift
  • 1 Ultrasound Shift
  • 2 Faculty Shifts
  • 5 Resus Shifts
  • 5 Resident Shifts

Faculty and/or departmental residents/fellows will evaluate the student's clinical performance by assessing: 

  • Medical knowledge: Exhibits appropriate knowledge and understanding of basic pathophysiological processes; Demonstrates critical thinking and clinical decision-making. 
  • Patient Care: Conducts accurate history and physical exams. Demonstrates competence in performing exam procedures. 
  • Practice-Based Learning: Demonstrates progressive improvement throughout the rotation, learning from mistakes. 
  • Interpersonal & Communication Skills: Presents concise, accurate, and pertinent information; Provides patient/faculty/resident with clear instructions appropriate to their educational level. 
  • Systems-Based Practice: Demonstrates knowledge of broader health care resources available in the community; Completes patient encounters on time. 
  • Professionalism: Demonstrates punctuality, accountability & honesty; Arrives well-prepared; actively seeks responsibility beyond the scope of expectation. 

Aquifer Cases: Complete cases when not on shift.  

SAEM Final Exam:  Last day of rotation.  

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Rotation Schedule

Start Dates for AY 25-26:

  • 5/12/2025 – 6/6/2025
  • 6/9/2025 – 7/4/2025
  • 7/7/2025 – 8/1/2025
  • 8/4/2025 – 8/29/2025
  • 9/1/2025 – 9/26/2025
  • 9/29/2025 – 10/24/2025
  • 10/27/2025 – 11/21/2025
  • 11/24/2025 – 12/19/2025
  • 1/5/2026 – 1/30/2026
  • 2/2/2026 – 2/27/2026 
  • 3/30/2026 – 4/24/2026

Days and times are subject to change.