Fourth Year Considerations for Emergency Medicine

1. So, youre interested in Emergency Medicine? Considerations for a Great Fourth Year at UCSD From your EMIG MSIVs 2010

2. Outline: Part I (today) EM exposure UCSD graduation requirements UCSD rotations EM timeline (S) letters of recommendation SOM420 (EM) Away rotations Mentorship

3. Outline: Part II (Later) Where to Apply (Location? Career opportunity? 3 vs. 4 years? Academic vs. Community vs. County? Reputation? California vs. elsewhere?) Interviews The Rank Ordered List The Match

4. But wait, how do I know I want to do EM?

5. But wait, how do I know I want to do EM? Pre-clinical EM elective (SOMI225) EMIG involvement Meet with EM faculty MSIII elective block Shadow in the UCSD Emergency Department MSIV clinical rotations: SOM420 (EM); PEDS429 (Peds EM)

6. Very Tentative 2010 - 2011 Fourth Year Clinical Calendar

7. UCSD Graduation Year Requirements* Enroll in a minimum of 9 blocks: 6 Clinical rotations Up to 2 ISP/Research P2P (Feb 7 - March 6, 2011) 3 Direct Patient Care (DPC) rotations must be completed at UCSD 1 Inpatient 1 Outpatient 1 Primary Care Pass CPX (July 2010) USMLE Step 2CK by the end of Summer 2010 and CS by the end of Fall 2010 *verify at your fourth year orientation on March 17 th !

8. UCSD rotations 3 DPC rotations must be completed at UCSD 1 Inpatient 1 Outpatient 1 Primary Care Recommendations? Communication and organization during scheduling

9. EM Timeline During third year : Apply for away rotations, budget for 4 th year Summer quarter: UCSD/away rotations, ask for LORs as you go, start personal statement, research EM programs, meet with advisors Sept : ERAS apps forwarded to programs (ERAS opens in July) Oct : Interview invitations begin (scheduled Nov-Jan) Nov 1 st : Deans Letter released more interview invitations Dec : Talk to your advisor if you havent gotten any invitations yet Jan : Finish interviews, thank you notes as you go along, think about the ROL Feb : P2P; ROL due mid-February March : RelaxMatch day: March 17, 2011

10. CORD Standardized letter of recommendation Adds objective and comparative information Non-EM faulty submit narrative LORs 3-4 LORs, 1-2 of which must be SLORs from EM faculty (check each website!) LOR writers can be busy; give them plenty of time UCSD Trifecta: Drs. Ly, Oyama, Sloane

12. SOM420: How to Prepare Know the basic EM differential and work up for the top clinical problems Differential must include the things that will kill you acute care, critical care Read up on procedural skills (suturing, I&Ds, LPs) Supplies

13. SOM420: How to Succeed Be outgoing; introduce yourself to nurses, residents, attendings Sick vs. not sick Put orders in early Brief, high-yield presentations Be complete (procedure notes, dispo, patient notes) Be independent, prep for procedures; but if you dont know, ask! 3x5 cards (suggestion from Dr. Oyama) Hand out evaluations, solicit feedback

14. Away rotations Equally important to excel at another institution High emphasis by PDs on away rotation grade Faculty continuity; youll need a strong SLOR Be positive and enthusiastic; work hard and shine! Get to know the residents Find out what special opportunities exist in the residency program

15. Away rotations Apply early! Some are first come, first serve and fill up to 6 months in advance; others open in blocks. Start looking at clerkships now Varied clerkship application requirements Most clerkship dates do not match up with UCSD How many should I do? Where should I go?

16. UCSD EM Resident-MSIV Mentoring Interested in a UCSD Emergency Medicine resident mentor? Mentors can help you out! Review your personal statement Considerations for finding a program that fits Guidance through application process Preparation for interviews Advice from a resident perspective Contact Anthony Salazar, EM PGY-3 at: acsalazar9@gmail.com

18. Useful Links UCSD EMIG : meded- dev.ucsd.edu/groups/emig/ More resources, alum contact info, event listings, ways to get involved FREIDA: residency database Emergency Medicine Residents' Association: emra.org Society for Academic Emergency Medicine (SAEM): saem.org American College of Emergency Physicians (ACEP): acep.org

19. Feel free to contact us! Julie Pelletier: jeopelletier@gmail.com Scott Pelletier: scott.pelletier@gmail.com Chad Valderrama chad.valderrama@gmail.com Austin Kinney: akinney@ucsd.edu Bansari Shah: bhshah@ucsd.edu