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clerkship handbook - University of Hawaii – Department of Medicine

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any area(s), the Site Coordinator should immediately notify the Clerkship<br />

Director who may further discuss the student’s performance and possible<br />

remediation with the <strong>Department</strong> <strong>of</strong> <strong>Medicine</strong> Student Education Committee.<br />

(See Student Evaluation Form and Honors/AOA Evaluation Form)<br />

i. Serving as a member <strong>of</strong> the <strong>Department</strong> <strong>of</strong> <strong>Medicine</strong> Student Education<br />

Committee (SEC). The Site Coordinator attends the committee’s monthly<br />

meetings to act as a spokesperson for the students assigned to his/her site,<br />

reporting on students’ performance and progress and recommending<br />

commendation and remediation when appropriate. In addition, SEC members<br />

participate in the oversight, development and implementation <strong>of</strong> all <strong>of</strong> the<br />

<strong>Department</strong> <strong>of</strong> <strong>Medicine</strong>’s 3 rd and 4 th year clinical rotations.<br />

j. Monitoring students’ work hours, dedicated study time, days <strong>of</strong>f and<br />

absences. (See Work Hours, Dedicated Study Time and Days Off section.)<br />

k. Serving as mediator in the event students encounter problems at their<br />

assigned site. Problems may include <strong>clerkship</strong> requirements, <strong>clerkship</strong><br />

performance, absences, mistreatment, harassment and abuse. The Site<br />

Coordinator should refer significant problems to the Clerkship Director and/or the<br />

<strong>Department</strong> <strong>of</strong> <strong>Medicine</strong> Student Education Committee.<br />

3. Additional responsibilities <strong>of</strong> Hospital Site Coordinators include, but are not<br />

limited to:<br />

a. Assisting in Team Assignments - the Hospital Site Coordinator will assist<br />

the Chief Medical Resident with the assignment <strong>of</strong> students to medical<br />

teams.<br />

b. Leading PBL Tutorial. This should occur on average once a week<br />

throughout the <strong>clerkship</strong> and each session should last on average 2 – 3<br />

hours. (See PBL Tutorial description.)<br />

c. Insuring that Bedside Clinical Skills occur 1 – 2 times each week and<br />

Chief Medical Resident Rounds occur 1 time each week and monitoring<br />

students’ attendance at these as well as at other hospital conferences<br />

and rounds deemed to be <strong>of</strong> educational value by the Hospital Site<br />

Coordinator.<br />

The Ambulatory Attending’s Role<br />

1. Introduction:<br />

The ambulatory attending, or preceptor, is a critical element for student learning in<br />

Internal <strong>Medicine</strong> as it is practiced in the ambulatory milieu. Although sometimes<br />

lacking the drama <strong>of</strong> inpatient medicine, the outpatient setting <strong>of</strong>fers special skills sets<br />

in learning and teaching critical thinking, decision making, clinical skills and judgment,<br />

and patient-physician communication in Internal <strong>Medicine</strong><br />

2. Responsibilities:<br />

a) The ambulatory attending/preceptor will serve as a role model for excellence<br />

in ambulatory primary internal medical practice, to include thoughtful, evidence-<br />

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