INTERNAL MEDICINE Savannah CLERKSHIP MANUAL

Weekly Work Hours/Procedure Log Form: - (See Form)
The weekly work hours/procedure log form shows your accountability and responsibility of
your medicine clerkship activities and procedures for the rotation. In the first section to the
left, you will see the heading DATE/# HRS WORKED. Beside each day of the week, write
the date along with the total number of hours you worked on that day provided under the date.
In the middle section under the heading TIME OF DAY WORKED provide the hours you
were actually here, i.e., 8:00a.m. – 4:30 p.m. If during this time you completed your night float
call, have the night float resident that you worked with sign their name in the night float name
box.
In the right side section, write any procedures you performed on that day. Remember this
information must also be entered in the ONE45 computer system as well as on this procedure
log form.
In the bottom section, circle the correct box if you worked inpatient or outpatient and which
team you worked with during that week. You must also total your own hours and provide
your signature as well as printed name in the box provided. Don’t forget to circle the
appropriate week number of the rotation. You must turn in at least one log sheet for each of
the twelve weeks that you are on the rotation. The Clerkship Director and Clerkship
Coordinator will review your work.
Your signature shows you are attesting that the information you have submitted is true to the
best of your knowledge. It is suggested that you keep a photocopy of each weekly log form
that you turn in for your own records.
Please note: If your hours are not totaled or if you do not provide your signature and printed
name at the bottom of the form or if you do not circle the appropriate week number, the form
will be returned to you in order for you to complete each of these tasks.
*Students are required to enter all patient encounters into the MUSM “one45” software
at the medical school. The deadline to enter the information is the Saturday after the
Shelf Exam.*
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