Audition Rotation

Audition Rotations

Trinity Health Livonia Hospital is in Livonia, Michigan and is one of the hospitals in the Trinity Health Michigan. We offer many unique qualities in an emergency medicine residency. Our hospital features a newly built 56-bed emergency department including zones for fast track, senior ER, behavioral, acute care and four trauma rooms.

Along with our facility comes new equipment including four ultrasound machines in the ED, two Mindray M9, a Sonosite Edge, and a Sonosite M-Turbo, dedicated in-department CT, and a stroke robot that is used in collaboration with Michigan Stroke Network. The American College of Surgeons (ACS) have granted us accreditation as a level II trauma center. Additionally, we offer 24-hour cath lab for PPCI.

Currently, at our facility, we are using EPIC for our EMR. Each of our attendings are board-certified / board-eligible emergency medicine and have varying interests ranging from critical care to emergency ultrasound. Our program is one of seven at our facility including family medicine, internal medicine, psychiatry, transitional, and podiatry.

As our residency is affiliated with Michigan State University - College of Osteopathic Medicine, we participate in the Michigan Statewide Campus System (SCS). In addition to our weekly didactics at Trinity Health Livonia, we meet once a month for SCS with all other surrounding EM residents. At SCS, lectures are provided from guest EM speakers. They also sponsor multiple SIM labs / other events that are held throughout the year.

We offer the following 4-week rotations from August through January to students who are in good standing with their medical school and who have passed COMLEX/USMLE Step 1 on the first attempt.

Traditional Audition Rotation:

During your rotation in the ED, you will be able to manage patients under the supervision of the upper-level residents and attendings. Our goal for you will be to manage patients from triage until disposition. During each shift, you will follow your patient's labs/imaging studies and recommend treatments based on the results. You will be able to assist with procedures given your comfort level and prior experience. We will also schedule you on shifts with our program director, associate program director, clerkship director during your rotation. We have recently added dedicated procedural practice for during didactics, small group sessions with the PD, and the opportunity to do an ultrasound shift during your rotation here. Ultimately, we hope that you will have a great rotation with us and that you will have some fun along the way.

EM/Ultrasound Rotation:

This 4-week Ultrasound Rotation is designed to introduce enthusiastic medical students to Emergency Medicine Point-of-Care Ultrasound and help to develop the necessary skills for a career as an Emergency Medicine physician. Our department has a top-of-the-line Mindray M9 ultrasound system as well as an additional Sonosite Edge and Sonosite M-turbo ultrasound unit. Utilizing this equipment, you will work along-side Emergency Medicine residents and the Ultrasound Director within the Emergency Department. Students spend two weeks doing ultrasound and two weeks in the department.

The use of Point-of-Care Bedside Ultrasonography in the Emergency Department has grown exponentially over recent decades and has become the standard of care in treating our patients. Numerous benefits exist to incorporating bedside US into your practice including increased patient satisfaction, faster door to diagnosis time, improved accuracy of diagnosis and decreased patient ED length of stays. The goals of this US rotation are to ensure an understanding of fundamental concepts of bedside ultrasonography including:

US physics
Knobology and transducers
Image acquisition (125 Ultrasound examinations divided amongst the 11 ACEP recommended core studies)
Image interpretation including understanding of relevant anatomy, pathology, and image artifacts
- Time is set aside specifically for image review at the end of each week
Efficient incorporation into clinical practice
Appropriate documentation and quality assurance
Review landmark US literature during journal club during the rotation
End or rotation competency assessment

Research Rotation:

Educational Goals:

To understand practical concerns in performing Emergency Medicine research while completing, or participating in, an ongoing research project. This is a two-month rotation.

Prerequisites:

Matriculating in the fourth year of medical school, in good standing
Completion of CITI research ethics training prior to arrival (if not already completed, we will provide access to these modules)
Confidential review of a research protocol prior to arrival by previous arrangement

Specific Objectives:

Engage in a clinical research project in the Trinity Health Livonia Emergency Department
Learn how clinical research is developed and conducted
Receive training in how research involving human subjects is conducted in an ethical manner
Discuss articles on topics relating to emergency medicine clinical research
Gain exposure to the SMML Emergency Department and the Residency Program in Emergency Medicine

Description of didactic objectives:

The student will be given a packet of articles to read both prior to and during the rotation
The student will spend one month emerged in research and academic activities
The student will be responsible for the goals and reading list for the month, which will be due one week before the start of this rotation.
The student will attend any scheduled Journal Club and didactic lectures throughout the month
The student will attend the research sessions of our Emergency Medicine Research Associates Program (EMRAP)
The student will attend the Research Committee meetings. The student may attend an IRB meeting by prior arrangement (these are held off-site at Trinity Health Hospital in Ann Arbor on certain months)
The student will participate in one or more major departmental research projects during the research rotation.
The student will be encouraged to design a practice research project using the departmental online research-mentoring tool.
The student will meet the personnel who engage in research, including physician-researchers, statisticians, and the research coordinator (depending on availability).

Description of clinical experiences:

During your rotation while in the ED, you will be able to participate in the management of patients under the supervision of the residents and attendings

EM/Critical Care Rotation:

Rotation Objectives

During this rotation, the medical student will have the following responsibilities:

Assist in initial resuscitation
Reconcile medications and history from other available sources
Optimize patient care in ED with frequent re-evaluation of patient exam, timely review of labs
Perform or assist other residents in procedures when appropriate
Review active cases not in resuscitation bays for escalation of care including, but not limited to the following:
- Allergic reactions
- Asthma/COPD exacerbations and other impending airway failure
- CHF exacerbations
- DKA
- GI bleeding
- Hepatic encephalopathy
- Sepsis, severe sepsis, and septic shock
- Dysrhythmias
- Trauma
If there are no active resuscitation cases, or patients in need of critical care, the medical student shall have additional responsibilities
- Review and follow up of resuscitation cases with ICU team to identify successes and areas of improvement (Patient Care/Medical Knowledge/Practice Based Learning and Improvement/Interpersonal and Communication Skills/Professionalism)
- Perform ultrasounds on appropriate patients in the ED (Patient Care/Medical Knowledge/System Based Practice)

Description of Clinical Experience

The medical student will work 14 shifts

The medical student will work a 9-hour shift during the peak hours of the day for additional resuscitation bed coverage

EM/Administration Rotation:

Rotation Objectives:

Demonstrate a familiarity with the JCAHO standards.
Demonstrate an understanding of the peer review process.
Discuss issues of Emergency Department structure within hospital administration.
Discuss the medical legal aspects of Emergency Medicine including consent, commitment, reporting, and malpractice and risk management.
Discuss and understand medical staff issues of structure, licensing, credentialing, and disciplinary policies.
Discuss and demonstrate an understanding of the various medical organizations and their functions within organized Emergency Medicine.
Assist with quality projects.
Assist with M&M and create a half hour interesting case presentation.
Discuss issues of practice management including benefits, billing and reimbursement, and contracts. Discuss wellness issues in Emergency Medicine including stress management, work scheduling and physician impairment.
Discuss the use of outcomes research to evaluate the quality and effectiveness of emergency care.
Reading provided by educational coordinators.

Description of Clinical Experience

In addition to time spent in the administrative offices, the medical student will be responsible for 8 clinical shifts to be scheduled with the administrators and resident they are working with that month.

Description of Didactic Experience

The medical student will attend weekly Emergency Medicine conferences.

Audition rotation options available by search Trinity Health Livonia on the VSLO website Visiting Student Learning Opportunities or email the following information to tammy.lee@trinity-health.org.

Requested Rotation:
Requested Rotation Start and End Dates:
Curriculum Vita
COMLEX/USMLE Step 1 score report/transcript
Name of Medical School:
Medical School Contact Person:
Contact Person Phone Number:
Contact Person Email Address:

Upon confirmation of an affiliation agreement with your medical school and approval of the dates you have requested we will email you application instructions.

Thank you for your interest in an Emergency Medicine rotation at Trinity Health Livonia.