Medical Student Inpatient Ward Responsibilities

Attendance

1. Attend your scheduled conferences at noon.

2. Attend Student report on Monday at 8 AM in the Medicine Conference Room, BI5080 (except first week of each month).

3. Attend teaching rounds with designated faculty at designated times.

4. Attend Chief Resident rounds at designated times.

5. Days off: Any weekend day or holiday when the team is not on call or post-call is an appropriate day for you to be off. You should arrange coverage for your patients. All students should take one day off in 7.

Clinical Responsibilities

1. Students are to be assigned two patients on the first day of each four-week block.

2. 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.

3. 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.

4. Pre-round on all your patients before work rounds.

5. 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.

6. Formally present new patients to your team the post-call morning (try not to take more than 5 minutes per new patient).

7. Work closely with the intern and resident.

8. Prepare assigned topics related to your patients. These are to be discussed weekly with your team.

9. Be honest and act in a professional manner to other hospital staff.

10. Timeliness is crucial for teaching to run smoothly.

11. Write your notes using the SOAP format. Timely notes are a plus. Remember to time and date all notes.

12. Call your intern to report any abnormality–offer suggestions and/or explanations.

13. Know everything about your patients—read about their problems and bring in review articles relevant to their problems.

14. Remember that you are the patients doctor. The rest of the team is here to help you.

15. Check out your patients with your interns (or residents for SMS) prior to leaving the hospital every afternoon.

16. Student may be asked to present a patient at morning report.

17. Attend 1 phlebotomy session. (optional)

18. Attend 1 IV session. (optional)