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Students are to be assigned two
patients on the first day of each four-week block.
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You should not take more than 2 to
3 new patients while on call or carry more than 5 patients at any given
time. You should strive to keep your service in the 3-5 patient range, not
the 1-2 patient range.
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Complete 2 to 3 History and
Physicals weekly. These should include an expanded discussion of an
assessment and a differential diagnosis. (Only for JMS) You are required to
hand in 1 H&P to your attending for evaluation/feedback.
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Pre-round on all your patients
before work rounds.
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Give 2-3 minute presentation (follow-up) in old patients. Please include hospital day, antibiotic day (if
applicable), subjective and overnight nurse notes (flip over the chart prior
to evaluating your patient). Focused Physical Exam and pertinent labs,
today's plan for each problem, long-term planning and disposition.
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Formally present new patients to
your team the post-call morning (try not to take more than 5 minutes per new
patient).
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Work closely with the intern and
resident.
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Prepare assigned topics related to
your patients. These are to be discussed weekly with your team.
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Be honest and act in a professional
manner to other hospital staff.
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Timeliness is crucial for teaching
to run smoothly.
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Write your notes using the SOAP
format. Timely notes are a plus. Remember to time and date all notes.
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Call your intern to report any
abnormality–offer suggestions and/or explanations.
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Know everything about your
patients—read about their problems and bring in review articles relevant
to their problems.
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Remember that you are the patients doctor.
The rest of the team is here to help you.
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Check out your patients with your
interns (or residents for SMS) prior to leaving the hospital every
afternoon.
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Student may be asked to present a patient at morning report.
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Attend 1 phlebotomy session. (optional)
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Attend 1 IV session. (optional)