IU School of Medicine



The goal of this rotation is to develop the ability of the senior student to triage, evaluate, and manage children with a broad range of medical and surgical problems with varying levels of acuity. The rotation is based in an urban referral pediatric emergency department. Patients will include those from birth to 18 years of age who live in the area, as well as those referred to this tertiary care hospital emergency department for higher levels of care. The medical students will work closely with other team members, including pediatric residents, emergency room attendings, subspecialists, nurses, and support staff to triage and care for patients who present to the pediatric emergency room.

Elective Details:

Primary Contact for Add/Drops: Tonya Hole, MD (tonyajoy73@yahoo.com)

Director: Tonya Hole, M.D.

Campus: Indianapolis

Location: St. Vincent Hospital (Indianapolis)

Learning Objectives

  • 1) Synthesize history and physical data to generate an appropriate differential diagnosis, assessment, and management plan (PC1)
  • 2) Describe management priorities for critically ill and injured children) Apply the principles of PALS/APLS and ATLS as appropriate (MK4)
  • 3) Develop knowledge of indications, complications, and techniques of common ED procedures including: airway management (bag-mask ventilation, rapid sequence intubation), procedural sedation, vascular access,/fluid resuscitation (IV placement, central lines, IO lines, arterial lines), CPR, lumbar puncture, bladder catheterization, splinting, suturing, regional anesthetic blocks, foreign body removal, and pain management (PC5)
  • 4) Demonstrate competence in the review and interpretation of radiographic studies, laboratory studies, and EKGs (PC3)
  • 5) Describe basic principles of pediatric trauma and trauma evaluation (MK4)
  • 6) Communicate professionally and effectively with all members of the healthcare team, including residents, EM faculty, ED Unit Secretary, RTs, RNS, ED Care Techs, and our many, many consultants (ISC1)
  • 7) Recognize appropriate indications for reporting suspected abuse, work effectively with Child Protection Services and convey appropriate information to all involved persons (P3)
  • 8) Carefully document history, exam, procedures, medications, test results, medical decision-making, consultations, disposition, and discharge instructions)


  • Clinical Performance Evaluation Form; (The Pediatric EM faculty provide feedback to the course director on the studentsí performance that is assimilated into the final evaluation. Students are expected to be able to collect a history and physical, formulate a differential diagnosis, and develop patient management plans).

Enrollment Information

Prerequisites: 4th year status

Availability with Max Students per Month:


Duty Hours: 35-45

Time Distribution: 100% Clinical

Elective Type Category: CP - Clinical Practice

Notes and Enrollment Information:

Add/Drop Contact Person: Tonya Hole, MD (tonyajoy73@yahoo.com) Students work an average of 15 nine-hour shifts, rotating between nights, days, swing shift, weekdays, and weekends. Expectation is to make up any missed shifts or the grade is incomplete. To check availability, contact Darlenia Thomas at (DarleniaF.Thomas@stvincent.org). We do accept interested students with a wait list availability option.

Third Year Elective? No

Interprofessional Skills and Service Learning

Interprofessional Collaborative Skills: None

Service Learning Included: None