Clinical Orientation Manual - University of Kansas Medical Center

since the last geri clinic encounter, abnormal lab results, and vital signs (including weight
change). Perform a thorough interview and physical exam. Report with assessment and plan
regardless of your skill level. (side note: if you deem it necessary to assess for orthostatic be sure
to do so yourself).
Dr. Raj Bhattacharya - Raj Bhattacharya does diabetes/osteoporosis clinic, so it isn't limited to
just the elderly population. He is easy to engage in conversation about endocrine disorders, and
wants students to know everything there is to know about diabetes. Clinic runs at a good pace
that you won't get bored, but you’ll still learn. Students see the patient first to ask specific
questions about how they are doing (he'll let the student know these questions on day 1). You'll
present these findings to him while he does his note and then he'll go see them while you see the
next patient. Students don't normally write notes because he is quick to close the
encounter. He's really chill, but likes when students take an interest in learning.
Dr. Shelly Bhattacharya -
In clinic - Students are expected to show up at 7:45am to review patient charts. The clinic starts
at 8am. You will usually 2 students so you can alternate seeing patients. Generally she will copy
your HPI so always write it while in the room with the patient and be sure to do a thorough
medication review. You will have ample opportunity to get your skills card complete with
her. Generally speaking you should expect the clinic to run late so be aware that you will likely be
late to your afternoon activities. She will be one of your graders so it is wiser to stay late with her
than leave early to get to your afternoon activity on time.
In nursing home - You will be required to see 2 patients for follow up. You should see your
patient and complete your note prior to rounds starting. You should be sure to do a full
medication review. Generally speaking you will work at a much faster pace than Birch at the
nursing home.
Dr. Hayley - She enjoys teaching students so feel free to ask questions. Presentations should
be formal and concise. Try to avoid excessive descriptors (eg “patients potassium was normal at
4.1” should be “Potassium was 4.1.”) You should expect to see patients alone.
Dr. Kalender-Rich - Generally she is very laid back and easy to work with. She will assign you
patients at the beginning of the day with the intent of you following the same patients as best as
possible throughout the rotation. She is from an internal medicine residency so your
presentations should be tailored as such. She is very up to date with evidence-based research
and very approachable so don’t hesitate to ask her questions. Also, she is a good preceptor if
you are not interested in geriatrics because she will tailor your experience and discussions to
your interests.
Dr. Swaggerty - Generally, pretty laid back and is easy to work with. He really loves working with
Geriatric patients and is very thorough.
Sharee Wiggins, NP - A very experienced researcher and nurse practitioner with two masters
degrees. Physical exam, adequate pain control, incontinence and medication reconciliation are
her big hot topics. It's important to her that you know the patient's family, social, an occupational
history. She's got high standards but she's a great teacher.
13