clerkship handbook - University of Hawaii – Department of Medicine

3) Interns, Upper Level Residents and Attendings who work with the student for one (1) week
or more are expected to evaluate the student. During the course of the student’s inpatient rotation,
the Intern and Upper Level Resident are expected to give the student verbal feedback on his/her
performance and progress. This feedback should be provided on a regular basis, ideally daily but at
least weekly. Then during the last week of the Intern and Upper Level Resident’s block or during the
last week of the student’s inpatient rotation, the Intern and the Upper Level Resident will complete
independent evaluations of the student which will be turned in to the Chief Medical Resident or
Hospital Site Coordinator. Finally, at the end of the student’s inpatient rotation, the HSC will
summarize all evaluations and complete a summary Student Evaluation Form for the site, which is
submitted to the clerkship office. (See Student Evaluation Form)
4) The student will be formally observed performing a history and physical on a patient
unknown to the student by the end of the student’s second week of Inpatient Medicine. It is the
student’s responsibility to arrange for a time when both the student and the Chief Medical
Resident are available. It is the CMR’s responsibility to find an appropriate patient. The CMR will
observe the student perform a history and physical. The CMR may also ask the student to make
a brief case presentation. The CMR will complete the Observed History and Physical and
BPES (Basic Physical Exam Sequence) Evaluation Forms (which should be provided by the
student to the CMR) and give the student immediate feedback. If the student’s performance is
not satisfactory, the student must repeat the exercise until his/her performance is satisfactory to
the CMR. Note that this history and physical may be used for one of the student’s
comprehensive write-ups. (See Observed History and Physical and BPES Evaluation Forms –
this is a required clerkship activity.)
5) The student will have the opportunity to present his/her patients at various hospital rounds
and conferences. The student should ask the Upper Level Resident or Chief Medical Resident in
advance for assistance in preparing for such presentations at a level that is appropriate for the
student’s training and for the particular rounds or conference. After the presentation, the student
should ask the physician who is supervising the rounds or conference for feedback. (See Case
Presentation Evaluation Form)
Ambulatory Medicine
Schedule: For 6B students, Ambulatory Medicine consists of 5 half days per week for 5-1/2
weeks (if in the first half of the academic year) or for 5 weeks (if in the second half of the
academic year). For 6L students, Ambulatory Medicine consists of 25 half days (one half day
weekly for 21-22 weeks plus 3-4 additional half days).
Location: The Ambulatory Medicine sites include Queen Emma Clinics, TAMC Internal
Medicine Clinic, VA Clinics, community health clinics, Kaiser HMO and private physician
offices. The sites for MED 531 for 6B students are all on Oahu, primarily in Honolulu,
while the sites for MED 532 for 6L students are either outside of Honolulu on Oahu or on
the Neighbor Islands. Although each site has unique features, the clerkship’s goal is to
provide students with a uniform learning experience based on the same learning objectives
while allowing students the opportunity to take advantage of the strengths of each site.
Due to the distant location of their assigned sites and their schedules, 6L students
do not attend any clerkship activities while on Ambulatory Medicine (UH Department of
Medicine Grand Rounds, EBM 1 and 2, EKG Workshop, HIV Medicine, Neuro 1 and 2).
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