Clinical Curriculum


Elective Options 


Mastering EKG’s with our very own EKG wizard Dr. Deep Singh

ECG elective (2A, 5B, 8B, 11B ): 

   – 2A ( Aug 23 – Sep 5), 5B (Nov 29 – Dec 12), 8B (feb 21-3/6); 11B (May 16-May 29(


Wilderness elective (9A, 9B, 10A, 10B):  

   – 9A March 7-20,9B is March 21 to April 3; 10A April 4-April 17; 10B April 18 – May 1

Focus practice of resource-limited medicine in austere environments. The skills learned during this elective are applicable to any setting defined by the use of limited equipment and extreme environmental conditions

Attend high risk deliveries, respond to pediatric codes and round with the neonatologist at Highland

 Perform dental nerve blocks, dental extractions, and procedural sedations.

Perform evaluations of podiatric complaints, read foot and ankle x-rays with procedures that include arthrocentesis, joint injections, ingrown for nail removal, wound care.

Work directly with anesthesia and CRNAs on nerve blocks and intubations. 

Work with Highland Faculty Andrew Herring and Erik Anderson in their addiction clinic. Learn all things, MAT/buprenorphine as well as options for alcohol addiction.

Lead US teaching shifts as a senior resident and perform nerve blocks in the ED

Use your elective time to complete your scholarly project required by ACGME

Have a cool idea? Great! Our program is very flexible and encourages unique experiences.

Bay Area Electives

Scrub in (and participate!) on burn and wound management cases including debridement, xenograft, autograft application. Round on burn and dermatologic ICU patients managing complex fluid, nutrition, ventilator requirements. Understand various options for wound dressings. 

Accompany one of the Pathologists and observe autopsies

Become comfortable with nasal endoscopy and laryngoscopy at Kaiser Oakland ENT Clinic. Evaluate and manage patients in laryngology, otology, rhinology clinic.

Learn to maximize a patient’s comfort, while providing appropriate medical

treatment, in the advanced stage of illness. Promote the highest quality of life by controlling symptoms such as pain, shortness of breath, nausea, vomiting, fatigue and anxiety at any stage of serious illness.

Children’s Hospital Oakland

At SFGH, participate in transfusion medicine techniques at a comparable Trauma center to Highland with exposure to massive transfusion protocols, etc. At UCSF, participate in transfusion protocols for tertiary/quaternary care (e.g. Liver transplants, pediatric leukemias, etc) requiring specialized blood components.

At Kaiser Oakland – Become more skilled at managing orthopedic injuries and perform injections and nerve blocks under the mentorship of one of our Highland alums, Dr. Justin Bosley, who completed a Sports Medicine fellowship after Highland EM residency.

International Electives

Highland Faculty Andrea Dreyfuss and David Martin have established an incredible relationship and even started a fellowship in Lima, Peru. Many Senior Residents choose to take advantage of this with an international elective.

Gain experience and confidence in using bedside ultrasonography, both for diagnostic and procedural purposes one of the largest public hospitals in Lima, Peru. Perform bedside ultrasound and other clinical teaching experience at a hospital with emergency medicine residents. Continued experience with clinical management of critically ill patients, with the added complexity of low resource setting. Exposure to administrative EM, through discussions with the director of the ED regarding operations, management, and hospital politics, along with the opportunity to discuss ideas for improvement in the very flexible ED at Hospital Dos de Mayo. Strengthen Spanish communication skills.

Highland Alum and former Faculty Shankar LeVine lives full time in Bhutan and gives Highland Residents the opportunity to rotate with him.

Location: Jigme Dorji Wangchuck National Referral Hospital (JDWNRH)  in Thimphu

Elective Description: The residents primary role will be to assist with the medical education for a wide spectrum of learners – primarily for the EM residents 

Work at one of the many IHS / tribal hospital sites and experience rural medicine firsthand. You can reach out to one of the many Highland alumni working at sites throughout Arizona, New Mexico, etc


Owing to our large network of alumni and close Highland community, we have contacts around the globe who are willing to accommodate our residents for an elective. A few examples of prior international electives include:

Port-Au-Prince, Haiti – Emergency Medicine and Critical Care

Rural Haiti – Emergency Medicine

Nairobi Aga Khan University Accident and Emergency

Global Health Peds EM – Location: South America (Peru / Colombia), India, Vietnam, Mongolia