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Unit 1 Essentials/EMT

During this unit, learners are introduced to anatomical donors, various adult learning principles used in the curriculum and develop insight into the importance of learning outcomes, formative and summative assessment, and reflection to build a strong foundation for clinically applied osteopathic medicine.

This unit introduces the learner to the fundamentals of becoming an osteopathic physician by integrating a robust Emergency Medical Technician- Basic (EMT-B) curriculum with the foundations of biomedical sciences, clinical applications, and professional identity formation.  Crisis Intervention Training (CIT) provides learners stress management strategies and coping skills. 

Using case-based learning, topics including anatomy, physiology, pharmacology, clinical analysis, metabolism, immunology and osteopathic manipulative medicine are explored in the context of acute and emergent health conditions.  Learners develop life-long learning habits by engaging in self-exploration and self-assessment activities.  The spiritual, psychosocial economic and technical dimensions of patient care, health care teams, and health care delivery are addressed.  

Rationale

Emergency medical conditions or trauma occur as a result of sudden insult to the body or mind. While there can be many primary causes, typically, these insults are due to injury, infections, obstructive complications, chemical imbalance, or as a result of persistent neglect of a chronic condition.1 Reductions in mortality are primarily dependent on the pre-hospital care and stabilization upon arrival in an acute care facility, which has often been associated with the premise of the “golden hour”.1-2

The ability to recognize emergent medical conditions or trauma is a fundamental skill for any physician. Treatment of these conditions by emergency medical services is dependent on prompt assessment, suitable interventions, and rapid transportation to the nearest appropriate health facility.1 This unit is designed to instruct the learner to the level of Emergency Medical Technician-Basic (EMT-B), placing the learner in an authentic, hands-on, dynamic environment that requires real-time critical thinking and problem solving skills.  Integration of foundational biomedical sciences, clinical applications, professional identity formation and crisis intervention training will provide the fundamental knowledge and skills necessary to become a successful learner in the UIWSOM curriculum.

References
1Kobusingye OC, Hyder AA, Bishai D, Joshipura M, Hicks ER, et al. (2006) Emergency Medical Services. In: Jamison DT, et al., editor. Disease Control Priorities in Developing Countries. 2nd ed. New York and Oxford: Oxford University Press.
2Craig D. Newgard, Schmicker RH, Hedges JR, et al. (2010) Emergency Medical Services Intervals and Survival in Trauma: Assessment of the “Golden Hour” in a North American Prospective Cohort, Annals of Emergency Medicine, 55(3):235-246