Chair

C. Keith Stone, M.D.

Department Information

Emergency medicine has emerged as a specialty with its own training programs, specialty boards and literature. Our approach to patient management is tempered by the unique circumstances of the emergency department. Many patients with multiple and different problems of varying duration and varying severity must be seen, examined, have workups started, receive treatment and have dispositions made. Often several patients are being cared for at one time. The need to give quality care is an ever-present factor, as is the need to expedite each case, avoid unnecessary history, physical examination, lab tests, procedures and others. Add to this the ever-constant possibility of receiving one or more critically ill patients, and it is easy to understand that the emergency department must have, and does have, its own style of medicine.

The goal is to teach some of the basic concepts of emergency medicine. This involves formal discussion, reading of the literature and, most importantly, allowing students to handle their own cases with the appropriate amount of supervision. Important concepts include: patient triage, performing a history and physical examination that is appropriate to the individual case, and structuring an appropriate workup and following it through. Students are encouraged to learn and practice skills such as suturing, IV techniques and any other procedure available. Students will learn how to become more comfortable in management of diverse patients, as well as multiple patients.

Education

The emergency department rotation presents a unique opportunity for students, supervised by senior staff emergency physicians, to care for patients with acute medical, pediatric, obstetric, gynecologic, psychiatric, and surgical illness and injury. Most patients present with a new problem requiring diagnosis and management. Frequently, the ability to prioritize and manage several patients at once is necessary. The emphasis is placed on efficient utilization of resources and rapid resolution of the patient's problem. Our goal is timely, compassionate, scientifically excellent emergency care.

Students on rotation in the emergency department have an opportunity to develop their history, physical and differential diagnosis skills. They are expected to develop and implement a treatment plan with senior staff supervision. They are encouraged to fine-tune procedural skills such as suturing, IV access, intubation and others.

At the conclusion of the rotation, students will be able to recognize the subtle manifestations of serious disease and understand how the approach to the patient in the emergency department differs from other areas of medical practice. They will be familiar with the presentation and stabilization of most critical illness and injury.

Emergency Medicine GME

Contact Information

Department of Emergency Medicine
The Texas A&M Health Science Center - College of Medicine
Scott & White Hospital
2401 South 31st Street
Temple, TX 76508

Academic Offices

Phone: (254) 724-1068
Fax: (254) 724-1044
Email: cjowens@sw.org