STUDENT RESPONSIBILITIES ON UVA WARD
I. Old Patients
A. - On-service Notes: No more than 1/2 page
- Brief hx summary
- Pertinent PE
- Plans
B. Daily progress reports on
- Name and Dx
- Present Status: Vita Sign, Weight, I & O,
Physical Finding, Therapy at Present
- Results Back
- Plans (X-rays, lab, rx)
C. Daily progress notes (Talk to Intern First!)
- Present Status (See Daily Progress Report)
- Results Back
- Plans
D. Consults, Orders, etc Must Be Countersigned. Performing procedures is not a primary purpose of this clerkship. You should become familiar with procedures through observation and assistance.
II. New Patients
A. Presentations on Morning Rounds when applicable.
- Time Limit 3 minutes
- Brief, Summarized HPI
- Pertinent PMH, FH, SH, and Physical Findings
- Plans
B. Write-Ups:
- No more than 2 detailed write-ups per on-call night.
- Concise and Pertinent HPI
- Complete ROS, PMH, FH, SH, and Physical Exam
- At the end, give a formulation, differential dx & discussion of patient's case in terms of what you read; reading is primarily limited to textbooks, review articles may be used. List references after work-up.
C. U/A, Diff, PPD, Growth Chart on the chart by next a.m.; also, have all pertinent lab data on chart by next a.m.
III. Night Call
- Work up admissions
- Present patient following a.m. on rounds