Guidelines for Attendings and Residents
- Guide for Attendings
- Guide for Residents
Guide for Attendings
- During Med 1, students are told to admit one case per call (approximately two per week, eight per block). They have 24 hours to complete a full write-up which they are told should be fairly extensive (background basic text reading evident). They are told not to put these in EMR until a number have been reviewed by you and you have deemed them “fit”.
- During Med 2, students are told to admit two cases per call (approximately four per week; 14-16 per block). They have until the following morning to complete a full write-up.
- Students should conduct the interview and physical exam as independently as possible. A portion will be observed periodically and feedback provided to the student on communication and exam skills and documentation EPA mobile platform (EPA 1a, 1b).
- Preceptor and student formally review one write-up per week. Please log observations and feedback on EPA mobile platform (EPA 2, 5).
Day-to-day patient management
- Present their patients on work rounds daily; present their new admissions post-call.
- Please make every effort to involve the student in the decision-making beforehand (as if they were going to write the orders), or at least keep them informed of orders written on their patients.
- Write daily progress notes on their patients.
- Collaborate professionally with other members of the patient’s care team (social work, pharmacy, consultants, primary care physicians).
- Students should be expected to present 3-5 minute “teaching bullet” on patient-driven question for team to be presented at start of each attending rounds (or work rounds, as appropriate).
- Students have a didactic schedule- see calendar for site-specific activities.
- Sit-down feedback session with students at least twice: mid-way through and at the end of their time on service. Forms to facilitate mid-way feedback will be given to you by the student clerks.
- Additional, brief, "on-the-fly" feedback is strongly encouraged (facilitated w/ EPA requirement).
- Completion of on-line MedHub evaluation of the student within two weeks of the end of the rotation. We are under strict LCME deadline to have all evaluations completed in a timely fashion.
- Structured observations- complete EPA requirements. Ideally this should be done by resident as a way to increase variety of methods residents gain exposure to and experience with.
- Further questions about the clerkship, contact Dana Dunne directly.
- Review all H and Ps- minimum four per block should have written or verbal comments from you.
- Assign five minute patient-based questions for students to review and report on for rounds.
- Meet for formative (midway) feedback
- Complete summative (final) feedback with student- complete final MedHub within 14 days of rotation end.
- Make attempts to review pertinent physical findings on student patients twice a week.
- Complete EPA direct observation and feedback requirements per block. Review Panopto video below for more information.