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Faculty & StaffObjectives Required Encounters Student Responsibilities Grading Criteria Clinical Performance Evaluation Student's Portfolio Learning Issues NBME Subject Examination Oral PresentationROME Requirements Hospital Rounds How to Study
Attend all scheduled rounds and teaching conferences offered at the various sites. A list of required conferences will be provided at each site. Policies regarding student attendance on weekends and holidays will be set by each site.
Didactic teaching sessions will be scheduled by each site. Sessions will include these cases: anemia, back pain, and ethics/hospice as well as other topics determined by each campus. Instructors will be the campus clerkship directors as well as other UND faculty physicians.
Professor Rounds will be scheduled by each site.
Bismarck students meet with Dr. John Hagan each Monday at 4:30 pm. Dr. Hagan will hold open office hours on Thursdays beginning at 4:30 pm.
Notify your attending physician/preceptor and the Clerkship Office if you are absent. In Bismarck, call 751-9581 (Jodi Rathjen). In Fargo, call 293-4134 (Carla Mosser). In Grand Forks, call 777-3406 (Stacie Klegstad). In Minot, call 858-6773 (Pat Bergan).
- One written Learning Issue is required and discussed with campus clerkship director.
Complete a mid-clerkship self-assessment meeting with the campus clerkship director as scheduled by your campus clerkship administrator.
Complete the Internal Medicine shelf exam given the last week of the rotation.
Complete evaluations of your attendings and preceptors as well as the overall clerkship via E*Value.
Enter your patient data via E*Value.
Complete and update your Portfolio (Student Management of Course Objectives).
Teaching Service Responsibilities
1. Perform an initial History and Physical Examination on at least two new patients each week as assigned by the attending physician or preceptor. A larger number of patients may provide a better learning experience.
2. Submit at least one patient write-up per week to your attending physician. Complete a concise, but thorough and accurate, patient write-up. The write-up must include a database, problem list, discussion of a learning issue, and patient management plan (see the section of this manual on write-ups for guidelines). This should represent your own independent thinking. A copy should be provided to the attending physician or preceptor within 24 hours of patient assignment for review and comments.
3. Present each patient orally to the attending physician or preceptor for review and comments (see appendices for specific guidelines).
4. Participate fully in the daily care of your patients (those on whom the student has completed a work-up). See each of your patients and complete follow-up assessments each day. Write daily progress notes on these patients (to be reviewed by the resident or attending). Be up to date on the clinical status and test results of each of your patients (be prepared to update your attending when asked), be present for procedures and participate when possible, and learn/perform minor procedures such as venipuncture and arterial blood gases. Attend any autopsies performed on patients who die while under your care.
5. Obtain the co-signature of the resident or attending on all notes and orders placed in the patient's permanent chart. This is entirely the student's responsibility. No orders may be carried out prior to being co-signed by a licensed physician. All student signatures in the medical record should indicate status, e.g., John Doe, MS-3.
6. Students will be expected to assist the residents on call and to work up a new patient when possible. Any changes in the call schedule must be approved by the attending physician.
7. Additional duties may be required during rotations at specific sites. Information will be provided when you begin these rotations.
1. If inpatient duties are assigned by your preceptor, see inpatient responsibilities above.
2. Complete a focused History and Physical Examination on approximately two patients per half-day in clinic as assigned by the preceptor.
3. Your preceptor may direct you to write or dictate a note for the patient's permanent chart. If so, your preceptor will give you explicit directions on how this should be done.
4. Present each patient orally, if requested to do so, to the preceptor for review and comments (see appendices for specific guidelines).
5. Identify learning issues for each patient you see. It is a good idea to write them down in a notebook or on index cards. Identify learning resources and research learning issues as soon as possible. We suggest researching learning issues immediately after seeing each patient. Some preceptor-student pairs may decide that it works better to save all learning issues for a block of time during the day. Review your learning issues with your preceptor as time permits.
6. Participate in all aspects of the preceptor's practice as directed by the preceptor, e.g., hospital rounds, consultations, nursing home visits, call, etc.
7. Take call as specified by your preceptor.
8. Additional duties may be required during rotations at specific sites. Information will be provided when you begin these rotations.