clerkship handbook - University of Hawaii – Department of Medicine

all of the team’s patients and can assist the team in the care of all of the team’s patients. The
student will be expected to actively participate in teaching attending rounds with the team.
6) The student is expected to assume as much patient care responsibility and functions
as the team feels are appropriate for the individual student’s level of training and competence.
The student is expected to participate in patient education and counseling, work with nursing
staff, dieticians, respiratory therapists, physical and occupational therapists, social workers,
hospital chaplains, etc. and to assist in discharge planning.
7) The student may perform Procedures or assist in the performance of procedures that the
team feels are appropriate for the student’s level of training and competence. The Upper Level
Resident is responsible for insuring proper supervision of any procedure performed or assisted by
the student. This means that the student must be supervised by a physician who is certified or has
expertise to competently perform the procedure in question, which includes interns, upper level
residents, chief residents or attendings. Note that there are no required procedures for third-year
medical students to perform.
8) The student should learn how to write Orders on his/her assigned patients. The student will
observe the residents enter orders electronically. The student should practice writing orders in their
Comprehensive Write-ups and daily Progress Notes (in the Plans section) and on the Physician's
Orders forms (See Physician’s Orders). The Hospital Site Coordinator and residents should
review the student’s orders with the student and correct them as needed.
Comprehensive Write-ups:
1) The student is required to submit 3 write-ups by halfway through the inpatient rotation
(averaging 1 write-up each week - schedule to be determined by the Hospital Site Coordinator).
The HSC will decide whether these 3 write-ups are satisfactory. If they are deemed satisfactory,
then the student will not be required to submit any more write-ups. If, however, they are deemed
unsatisfactory, then the student will be required to submit 1 – 3 additional write-ups, as
determined by the Hospital Site Coordinator, up to a maximum of 6 write-ups. (See Appendix)
2) The HSC should read and then review each comprehensive write-up with the student and
give constructive feedback.
3) At the end of Inpatient Medicine, the student will turn in a total of 3 - 6 comprehensive
write-ups, (total number to be determined by the HSC), either the originals or copies of the originals
with the HSC’s comments, to the clerkship office.
Required Clerkship Activities specific to Inpatient Medicine:
1) Bedside Clinical Skills
week.
a) All students on Inpatient Medicine will attend Bedside Clinical Skills 1 - 2 times each
b) Each week, one student will prepare and formally present one of his/her patients.
c) Patients should be chosen who are unknown to the other students in the group (ideally)
and who have physical exam findings.
d) The student who is presenting should have the case presentation memorized
(written notes for referral only).
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