autorecovery save of peds clinical rotation clerkship booklet

7/27/2019 AutoRecovery Save of Peds Clinical Rotation Clerkship Booklet

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Medical Student Clerkship

Procedures & Checklist

Log Book

Spartan Health Sciences University Please send these forms to

P.O. Box 324 P.O. Box 989

Vieux Fort, St. Lucia Santa Teresa, NM 88008

West Indies Email: [email protected]


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Table of Contents

1. Medical Students Self-Assessment

2. Weekly Log-Form

3. Medical Student On-Call Form

4. Internal Medicine

5. General Surgery

6. Obstetrics & Gynecology

7. Pediatrics

8. Psychiatry9. Family Medicine

10.Student Evaluation of Attending


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1 Be open, honest, and empathetic to patient

2 Work effectively with health care team

Clinical Judgment:

0 Make appropriate diagnosis and formulate a suitable management plan

1 Suggest appropriate diagnostic investigation

2 Understand the pathophysiology of the disease

Organization/Efficiency:

0 Prioritize/succinct/organize and summarize

1 Advocate for quality patient care

Presentation:

2 Demonstrate satisfactory clinical judgment

3 Synthesize information in an effective manner

4 Practice cost effective healthcare that doesnt compromise quality care

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Student Name: ____Anish Pithadia_ Hospital: Norwegian American Hospital

Student I.D. #: ________________________ Address: ________________________________

Rotation: ___Pediatrics_______ _________________________________

In-Patient List: ________________________ ________________________________________ Out-Patient Clinic: _____________________

WEEKLY LOG FORM

(Activities and Duties Performed)

Spartan Health Sciences University To Expedite mail service to St. Lucia,

P.O.Box 324 please send this form to: P.O.Box 989

Vieux Fort, St. Lucia, West Indies Santa Teresa, NM 88008

Starting Date: _______________________ Ending Date: __________________________ (one week period)


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Date PatientInitial

Chief Complaint Procedure Diagnosis Attending/Resident Signature

8/13/13

8/14/13 Lecture- Toxicology and PoisoningsLecture-

819/13 PCOS lecture-I learned to check T4 free, LH and FSH

level, Glucose, Check testosteroneU/S of Ovaries to be done to check if thereare follicles but not diagnostic.MC environmental factor is obesityDiagnsosti- Rotterdam.May be linked to low Birth Weight

8/19/13 Childhood Obesity lecture50% chance that child will be obese if

parents is obese.AA and Hispanic and Low SES hasIncreased obesity rate.Adipose rebound- 4-6 yo. They are morelikely to be overweightPatients can have some insulin resistance,check insulin level and fasting Blood Sugar Behavior and Learning problems,

psychological problemsBMI: >95%=obese ;85-95% is overweightAge 7 or greater- lose 1 pound a week Under 7- no weight gain, only increaseheight.Cut computer and TVMeds: Sibutramince >16, orlistatPrevention:No clean plate policy, no sweetsor treats as positive reinforcementProvide healthy foods and encourage

physical activity, Pack own lunches, no fastfood.

8/19/13 Diabetes lectureLow birth weight is associated with insulin

resistance. Highest prepubertal body weighthas high risk for diabetes. Ketoacidosis and


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ATTENDING PHYSICIANS NAME: __________________________ SIGNATURE: ________________________ DATE: __________

DIRECTOR OF MEDICAL

EDUCATIONS NAME: _____________________________________ SIGNATURE: ________________________ DATE: __________

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Spartan Health Sciences University To Expedite mail service to St. Lucia,

P.O.Box 324 please send this form to:

Vieux Fort, St. Lucia, West Indies P.O.Box 989

Santa Teresa, NM 88008Telephone (575) 589-1372

Student Name: ___________________________________ Hospital: ________________________________

Rotation: _______________________________________ Address: ________________________________

From: _______________________To: ________________ ________________________________

______________________________

MEDICAL STUDENT ON-CALL FORM

Date Time In Time Out Acceptable Work Ethics?Yes/No

Resident/AttendingsSignature

Yes/NoYes/No

Yes/No

Yes/No

Yes/No

Yes/No


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Yes/No

Yes/No

Yes/No

Yes/No

__________________________________ __________________________________________

Director of Medical Educations Name Attending Physicians Name

__________________________________ ___________________________________________

Director of Medical Educations Signature Attending Physicians Signature3


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Internal Medicine

Student Name: ___________________ Number of Weeks: __________


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Hospital Name: __________________ Date: ________ to _________

Student Name: ___________________ Number of Weeks:__________

Hospital Name: __________________ Date: _______ to _________

Internal Medicine

0 Emphasize integration and application of patho-physiology of the diagnosis and management of patients.

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1 Focus on the bedside care of the patients.

0 Write ups: You need to turn in a minimum of (6) History & Physicals and (6) SOAPs that includesthe following :

0 Perform an admission history and physical examination

1 Write the admissions note

2 Write patient orders, including admission orders, daily orders

3 Interview and examination of the patient

4 Write a daily progress note

5 Any clinical procedures performed

6 Ordered tests

7 Obtain and record test results

1 Short Call

Day __________ __________ __________

Date __________ __________ __________

Dr. Signature __________ __________ __________

2 I.C.U. Posting

Day __________ __________ __________

Date __________ __________ __________

Dr. Signature __________ __________ __________

3 E.R. Posting

Day __________ __________ __________

Date __________ __________ __________


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Dr. Signature __________ __________ __________

(B) PROCEDURE CHECK LIST

4 NG Tube (Observed/Performeda minimum of 3)

Day __________ __________ __________

Date __________ __________ __________

Dr. Signature __________ __________ __________

5 Foley Catheter (Observed/Performeda minimum of 3)

Day __________ __________ __________

Date __________ __________ __________

Dr. Signature __________ __________ __________

6 ECG (Observed/Performeda minimum of 3)

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Day __________ __________ __________

Date __________ __________ __________

Dr. Signature __________ __________ __________

7 Phlebotomy (Attend a minimum of 1 class)

Day __________ __________ __________

Date __________ __________ __________

Dr. Signature __________ __________ __________

8 Echo/Treadmill (At least 2 days)

Day __________ __________ __________

Date __________ __________ __________

Dr. Signature __________ __________ __________

9 Dialysis (Observed at least for 2 days)

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Day __________ __________ __________

Date __________ __________ __________

Dr. Signature __________ __________ __________

10 MRI (Observed at least for 1 day)

Day __________ __________ __________

Date __________ __________ __________

Dr. Signature __________ __________ __________

11 Chest X-Rays (Reviewedat least for a minimum of 4 days)

Day __________ __________ __________

Date __________ __________ __________

Dr. Signature __________ __________ __________

(C) List Case Presentations done

1. _________________________________________________________

2. _________________________________________________________

3. _________________________________________________________

4. _________________________________________________________

5. _________________________________________________________

6. _________________________________________________________


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General Surgery



General Surgery Rotation

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Student Name: # of Weeks:Hospital Name: Date:_______ to _______

0 Ability to interact with the patient, family and members of the surgical team

1 Overall knowledge of surgical illnesses and important steps in the decision process of treating theseconditions

2 Understand physiology of an acutely injured patient, whether this injury is from trauma, burn, infectionor surgery itself

3 Basic principles governing wound care, suturing and management of tissue infections

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(A) General Surgery

Student Name: # of Weeks:

Hospital Name: Date:________ to ________

List and Report of Observing orAssisting any of the following Surgeries

Surgical Procedure Date Sex Age Observed (#) Assisted (#)Surgeo

n Signature

1 Appendectomy2 Cholecystectomy3 Thyroidectomy4 Nephrectomy5 Ileostomy6 Mastectomy7 Adrenalectomy8 Parathyroidectomy9 Splenectomy10 Total hysterectomy1 Lumpectpmy


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112 Inguinal Hernia Repairs

(B) General Surgery

Student Name:# of Weeks:

Hospital Name: Date:________ to ________

List of Procedures Performed(a minimum of 3 are required)

Procedure # Observed # Performed Date Dr's. Signature

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1 Cannulations/NG tube2 Intubations3 Blood Withdrawal4 Arterial Blood Gas5 Central Lines6 Chest Tubes7 Sutures8 Foreign Body Removal9 Abscess Drainage1

0 Clean & Dressing11 Casts12 Collar & Cuff 13 Tubi-Grip14 Peak Flow Meter 15 Foley's Catheter Placement

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( C ) General SurgeryStudent Name: # of Weeks:Hospital Name: Date:_______ to _______

Case Presentations Done1

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HISTORY & PHYSICAL FORM

Date:____________________________________

Indication:________________________________

Physician Signature:________________________


Date:____________________________________

Indication:________________________________



Date:____________________________________

Indication:________________________________



Date:____________________________________

Indication:________________________________


PROGRESS NOTES- WRITING

Date:_______________________________________

Indication:___________________________________

Physician Signature:___________________________


Date:_______________________________________

Indication:___________________________________



Date:_______________________________________

Indication:___________________________________



Date:_______________________________________

Indication:___________________________________


M/F

Age:

M/F

Age:

M/F

Age:

M/F

Age:

M/F

Age:

M/F

Age:

M/F

Age:

M/F

Age:

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FOLEY CATHERTER PLACEMENT

Date:____________________________________

Indication:________________________________



Date:____________________________________

Indication:________________________________



Date:____________________________________

Indication:________________________________



Date:____________________________________

Indication:________________________________



Date:____________________________________

Indication:________________________________


NG TUBE PLACEMENT

Date:_______________________________________

Indication:___________________________________


NG TUBE PLACEMENT

Date:_______________________________________

Indication:___________________________________


NG TUBE PLACEMENT

Date:_______________________________________

Indication:___________________________________


NG TUBE PLACEMENT

Date:_______________________________________

Indication:___________________________________


NG TUBE PLACEMENT

Date:_______________________________________

Indication:___________________________________


M/F

Age:

M/F

Age:

M/F

Age:

M/F

Age:

M/F

Age:

M/F

Age:

M/F

Age:

M/F

Age:

M/F

Age:

M/F

Age:

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ARTERIAL BLOOD GAS

Date:____________________________________

Indication:________________________________


ARTERIAL BLOOD GAS

Date:____________________________________

Indication:________________________________


ARTERIAL BLOOD GAS

Date:____________________________________

Indication:________________________________


ARTERIAL BLOOD GAS

Date:____________________________________

Indication:________________________________


ARTERIAL BLOOD GAS

Date:____________________________________

Indication:________________________________


M/F

Age:

M/F

Age:

M/F

Age:

M/F

Age:

M/F

Age:


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Obstetrics & Gynecology




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Obstetrics and Gynecology Rotation

Student Name: # of Weeks:Hospital Name: Date:_______ to _______

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0 Familiarize with signs and symptoms of normal and abnormal reproductive function and basicexamination of Obstetrics & Gynecology.

0 Deliveries PerformedYou should perform to Observe/Assist in at least three (3) deliveries by yourself.

(We realize this may not always be feasible but use your time during the rotation to familiarize yourself withthe care of women in labor.)

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(e.g. twin delivery, premature labor, etc.)

S. No. Date Age Obstetric Problems &Outcome Signature of Docotor

3 Gynecological Procedures Observed(e.g. operations for urinary incontinence, ectopic pregnancy, etc.)

S. No. Date Age Type of Examination(e.g. VE, speculum, smear) withreason

Signature of Healthcare Professional

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4 Surgical Termination of Pregnancies

Doctors Name:_____________________________

S. No. Date Age Problem Case Management


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6 In-Vitro Fertilization Clinic

Doctors Name:_____________________________

S. No. Date Patient ID# and Age

Problem Case Management

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7 Seminar List(e.g .Diabetes in pregnancy, induction of labor, obstetric anesthesia, Breech presentation, multiple

pregnancy, Urogynecology, Thromboembolism, etc.)

S. No. Date Topic Presenter Facilitator

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8 Write Ups

0 You are required to write up three (3) history of physical examinations with a discussion of individual patient care.

1 Obtain a complete history and physical examination of at least one (1) obstetric patient.

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Pediatrics

Student Name: ____Anish Pithadia Number of Weeks: ______6____

Hospital Name: Norwegian American Date: ________ to _________


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Student Name: __Anish Pithadia________ Number of Weeks: ______6____

Hospital Name: Norwegian American Hospital Date: __8/12/13_ to _09/20/13_

Pediatrics

0 Learn and perform newborn and pediatric physical exams

1 Recognize normal patterns of growth and development

2 Be able to generate differential diagnosis for common pediatric complaints

3 Gain familiarity with the management of common pediatric diseases

Pediatrics Check List:

0 Submit at least 3-Pediatric history taking write ups. (learn concepts of differences from adulthistory taking)

1 Understand child health surveillance & immunizations

2 months 4months

3 months 12-14 months & Pre-school

2 Develop ability to relate to children and their family to get their cooperation

3 Learn how to use Growth Charts

4 New born Nursery/ICU (1 week)

5 Understand major milestones e.g., speech, language, communication, fine and gross motor skills and social & emotional development.

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6 Factors important to normal growth and development e.g., normal infant feeding, weaning andimportance of optimal physical, emotional, and psychological well being.

7 E.R. and Floor Calls (a minimum of 2-3)

(B) PROCEDURE CHECK LIST

0 Arterial and Venipuncture (Performa minimum of 3)

Day __________ __________ __________

Date __________ __________ __________

Dr. Signature __________ __________ __________

1 IV Catheter Insertion (Including CVP) (Performa minimum of 3)

Day __________ __________ __________

Date __________ __________ __________

Day: _________ _________ _________

Date _8/13/13__ _________ _________

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Dr. Signature __________ __________ __________

2 NG Tube Intubation (Observed/Performeda minimum of 3)

Day __________ __________ __________

Date __________ __________ __________

Dr. Signature __________ __________ __________

3 Endo-tracheal Intubation (Observe/Perform a minimum of 2)

Day __________ __________ __________

Date __________ __________ __________

Dr. Signature __________ __________ __________

4 Lumbar Puncture (Observe/Perform a minimum of 2)

Day __________ __________ __________

Date __________ __________ __________

Dr. Signature __________ __________ __________

5 CSF Analysis (Performa minimum of 1)

Day __________ __________ __________

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Psychiatry




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Psychiatry

0 Fundamental understanding of psychiatry as a medical specialty

1 Ability to perform a competent basic psychiatric diagnostic interview

2 Ability to formulate a psychiatric differential diagnosis, problem list, and initial treatment plan.

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Psychiatry Check List:

Student is expected to be familiar in the following:

0 Conducting an interview to obtain a psychiatric history and mental status examination

1 Organizing, recording and presenting the findings to generate a differential diagnosis usingDSM IV multi axial system for adult & childhood illnesses.

2 Formulating a treatment plan in accordance with the bio-psychosocial model

3 Write a minimum of three (3) psychiatric case workups with emphasis on primary method of

information gathering ( sample case write ups are provided)

4 Basic understanding of

0 Psychosis: Schizophrenia, Mania, Depression, Organic Brain Syndrome

1 Neurosis: Anxiety, Depression, Personality Disorders

5 Ability to perform a minimum of two (2):

0 Mental Status Examination

1 Complete Neurological Examination

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Family Medicine




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Family Medicine

0 Gain experience in ambulatory practice in urban, suburban and rural settings

1 Learn core skills and knowledge essential to the practice of Primary Care:

0 diagnosis and treatment of common outpatient complaints

1 management of chronic medical conditions

2 strategies for health promotion and disease prevention

2 Precepted by faculty in general medicine, general pediatrics, and/or family medicine

Check List

0 Perform histories and physicals in a concise manner geared to ambulatory (outpatient) setting

1 Submit case reports and presentations (minimum 1 per week)

2 Submit the Weekly Log Form for all patients seen in the inpatient and outpatient clinic

3 Any seminars attended

__________________________________

__________________________________

__________________________________

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Spartan Health Sciences University

Student Evaluation of Attending

Attending Name: ________________________________

Date: ____________________________

Please circle the appropriate response:

1 Was the attending punctual and available regularly? Yes No

2. Did the attending show interest in teaching? Yes No

3. Did the attending communicate concepts clearly? Yes No

4. Did the attending prepare for teaching? Yes No

5. Did the attending conduct bedside teaching? Yes No

6. Did the attending treat students fairly? Yes No

7. Was the attending attitude good towards patient care? Yes No

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8. Did the attending accept criticism and acknowledge his/her limitations? Yes No

9. Was the attending a good role model? Yes No

10. Would you recommend him/her to other students? Yes No

11. Did the attending behave in a professional manner? Yes No

12. Overall rating: Excellent Very Good Good Fair Poor

Comments:

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