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Clerkship General Policies
Attendance
- Students are required to attend all work rounds, grand rounds, lectures,
clinical assignments and conferences as scheduled on each assigned service.
- There is no vacation time scheduled during the clerkship. Requests
for necessary and unavoidable leave should be approved by Dr. Elmore
prior to taking leave. Please keep in mind that requests for leave from
clinical duties are appropriate only in cases of emergency.
- Scheduled lectures and conferences should take precedence over clinical
responsibility except in unusual circumstances.
Attire
- Attire should be clean and neat. Use good judgment in choosing appropriately
professional dress.
- Wear nametags at all times
- Scrubs are inappropriate for clinic.
Essential items:
- Stethoscope - You will need this to do H&P's,
check up on your post-partum and post-operative patients, and examine
your clinic patients. However, be ready to shed it in an instant to
go to the operating or delivery room.
- Pregnancy wheel – A pregnancy wheel will be
provided to you during orientation. This is an indispensable device
that allows you to calculate your patient's delivery date and current
length of pregnancy based on her last menstrual period (LMP).
- Pens - Make sure you have enough to do all the writing
you'll be doing!
- Pocket Pharmacopoeia – Some of the more commonly-used
drugs are unique to this rotation. As with other clerkships, make sure
you have the most current edition.
- Physical examination gear – You will need just
the basics to do your H&P and clinic notes.
Reading book - Don't forget to bring a book when you
are on call!
Clinical
Clinic
- Perform a pelvic or breast exam only when accompanied by a resident
or faculty physician. This is for your protection. Occasionally you
may be encouraged by an ancillary staff member to examine a patient
on your own, DON’T DO IT! No matter how much
we stress this, this happens every clerkship…make it your mission
NOT to be the one to make this error.
- Ob/Gyn is a very hands-on rotation. You are clearly expected to study,
but more importantly, you are expected to DO while
you are on site. The outstanding student looks for opportunities to
learn by doing.
- Be on time. Be where you are assigned to be.
- Be a good team player.
- Take the initiative to meet all of your residents. There are
several residents on each team, and each resident will have the
opportunity to evaluate you. You may feel more comfortable with
certain residents, but try to work with all of them since they all
will contribute to your grade.
- Any problems with team dynamics should be dealt with at the team
level with the particular student, resident or with the senior resident.
If this is not possible, address your concerns with the chief residents,
Drs. Darrel Bell or Brook Saunder, or to Dr. Elmore. Report problems
early, so they can be dealt with in a timely fashion.
- You are encouraged and expected to ask questions of your residents
and faculty members regarding specific Responsibilities and expectations
and regarding ob/gyn topics. Be sure you approach your resident at an
appropriate time during an appropriate situation (i.e. not during a
stat C-section, not in front of a patient, etc.).
- Residents and faculty may assign additional individual assignments.
These should be completed as specifically instructed.
- Check out with you resident before you leave at the end of each day.
Skills log
- A skills log will be distributed to you at orientation. Each of the
skills should be initiated and dated by a resident, faculty or nurse
when that skill has been mastered. LINK
TO SAMPLE SKILLS LOG . In separate EXCEL file.
- Each day, check your skills log and make sure you are making progress.
Don’t wait until the last week because you will be pressed for
opportunities to complete your skills. The completion of this will factor
into your final grade.
Medical records
- Your charting becomes a portion of the medical record, a legal document.
- Date and time each entry.
- Be specific and truthful, but use a mental filter when recording
what the patient reports to you. (Recording phrases such as “worse
headache of my life” and “crushing chest pain” obligate
you to certain workups. Oftentimes patients will say these things, but
with further assessment you can determine that these workups are not
always necessary.) When unsure, check with your resident.
- Be sure to sign each note. Clearly write your title “M3”
on each note and each written order.
- It is your responsibility to make sure a resident reviews and co-signs
each of your entries.
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