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clerkship handbook - University of Hawaii – Department of Medicine

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The Chief Medical Resident’s Role<br />

1. Introduction:<br />

The Chief Medical Resident (CMR) serves as a key faculty resource for the medical<br />

student on the inpatient service. As supervisor for the medical teams and their<br />

students, the CMR helps insure a good experience for the students.<br />

2. Responsibilities:<br />

a. The CMR will supervise and assist the Upper Level Resident in the<br />

inpatient instruction <strong>of</strong> medical students. They are responsible for insuring<br />

that students are instructed in, but not limited to, the following:<br />

o Case presentations<br />

o Interpretation <strong>of</strong> basic EKGs<br />

o Interpretation <strong>of</strong> common imaging, including chest and abdominal x-<br />

rays and CT, head CT and MRI<br />

o Physiology and management <strong>of</strong> fluids and electrolytes<br />

o Interpretation <strong>of</strong> arterial blood gases<br />

o Basic physiology and management <strong>of</strong> shock<br />

o Basic understanding and management <strong>of</strong> ventilators (at KMC)<br />

b. The CMR will observe and evaluate student’s Observed History and<br />

Physical during the student’s first two weeks <strong>of</strong> inpatient medicine, as<br />

previously described.<br />

c. The CMR will lead weekly Chief Rounds with the students as<br />

previously described<br />

d. The CMR will regularly discuss each student’s clinical performance<br />

with the Hospital Site Coordinator.<br />

The Site Coordinator’s Role<br />

1. Introduction:<br />

As a community-based <strong>clerkship</strong>, the Third-Year Clerkship in Internal <strong>Medicine</strong><br />

utilizes several clinical sites for medical student instruction. A major role <strong>of</strong> the<br />

Site Coordinator is to provide students at his/her site with the best possible<br />

educational experience and to insure that that learning experience is equivalent<br />

to the educational experience provided at the other sites utilized by the<br />

<strong>clerkship</strong>.<br />

The Site Coordinator is selected for his/her knowledge and experience at the site and<br />

the ability to work well with physicians, staff and administrators at the site, as well as<br />

the ability to work well with medical students. The Site Coordinator may be inpatient<br />

(Hospital Site Coordinator) or ambulatory (Ambulatory Site Coordinator).<br />

2. Responsibilities <strong>of</strong> Hospital Site Coordinators and Ambulatory Site<br />

Coordinators include, but are not limited to:<br />

a. Selecting qualified faculty to provide a good learning experience for the<br />

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