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Department of Emergency Medicine

Sub-Internship Overview

EMER 7610 Sub-Internship

The course covers general principles of emergency medicine including diagnosis and management of both the ambulatory and the acutely ill or injured patient with life or limb-threatening conditions presenting to the ED such as chest pain, trauma, burns, drug overdose, strokes, seizures, wounds and sports injuries. The majority of the learning experience will center on the student's active care of his or her patients in the Emergency Department.

Students will present the patient to the Attending Emergency Physician and/or Senior Residents on duty. The student will be expected to have generated a differential diagnosis and plan of therapy for each patient to discuss with the Attending or EM Resident. Procedures, such as laceration repair, paracentesis, central line placement, fracture/joint reduction/relocation, may be performed by the student under supervision as dictated by their patient's condition.

Students will be assigned to 13 clinical shifts (day/evening/overnight/weekend/holidays included) in during their rotation, split between the University and IMC Hospital Emergency Departments. An additional shift, precepted by RNs and EMTs, will be assigned that will be focused on the acquisition of basic procedural skills.

Grading is based on a student’s proficiency in many different aspects of patient care and medical knowledge. These aspects include fund of knowledge, differential diagnosis generation, patient presentations, professional demeanor, etc. These are evaluated every shift by each of the attending physicians and residents with whom the student works. These scores are compiled and a final grade determined. 

Students will attend an initial orientation and medical documentation training, as well as resident didactic assemblies and journal club. Students will be given access to emergency medicine material for study during the rotation. Ultrasound activities and QA reviews will be optional.

In addition to clinical shifts, students will need to complete an online exam (SAEMTESTS.ORG) and a directly observed patient encounter (SDOT). There are online practice tests to prepare for the exam. The exam grade and SDOT grade will both factor into the final grade for the rotation.

** Visiting and University of Utah students going into Emergency Medicine will interview for residency during their rotation. Information will be included in the initial welcome email sent out a month before rotation start **


Students must be in their 4th year of medical school and in good standing. All third year core clerkships must be complete. Visiting students should apply through VSAS and must provide a letter stating their interest in the University of Utah's EM rotation (this should not be your personal statement), transcript of grades, and board scores. Currently, we cannot accept applications for foreign medical students.

Course Requirements

  • First-day orientation session
  • 14 total shifts: 13 eight hour clinical shifts and 1 Nurse/EMT shift
  • Attendance at weekly didactic conferences and monthly journal club
  • Completion of required clinical performance evaluation cards
  • Ultrasound activities
  • Short Case Presentation (SDOT)
  • National Test (SAEM M4)
  • Completion of a Clinical Log