Resident Handbook - UC Davis Health System

MEDICAL STUDENTSPolicy and Procedures for medical students rotating at Mercy Medical Center Redding arecoordinated through the residency office. We only take senior students, or third year studentswho have completed all core rotations, from LCME or AOA approved schools.Clerkships are not offered in July. Most clerkship’s involve two weeks of Family Practice Clinicand two weeks of inpatient care.Students should always be introduced to the patient by the resident or attending, acknowledgingthat he/she is a medical student on a clerkship with us, and requesting the patient’s consent tohave the student participate in his/her care.History and exam findings must always be discussed with, and verified by, the resident orattending. Student chart entries, other than Social History and Review of Systems, are notacceptable documentation in California and require an adjacent entry on the same page from theresident or attending that reflects the resident’s or attending’s own personal findings. Studentsmay not dictate their chart entries.Students may not work in certain specialty clinics such as Colposcopy or Gynecology.TIPS FOR TEACHING MEDICAL STUDENTS• The resident / preceptor should offer guidance prior to the patient encounter by reviewingthe problem and drug list in the chart and making any comments about the patient and thefocus of this visit.• The student will observe your patient encounters. When considered ready, the studentwill take the lead role of gathering the data. The student should be observed and guidedat all times. Once the preceptor is comfortable with the student’s ability he/she may thenhave the student see selected patients before his/her personal evaluation. Introduce thestudent to the patient and tell the patient you will return.• Students should write up the encounter using the SOAP format and the preceptor willreview and critique the student’s note. The preceptor must chart a complete note on thesame page as the student and/or dictate on the patient.• Feedback should be given to the student on each case and suggestions for improvementmade.• By the end of the rotation, the preceptors will evaluate and grade the student, using thecopy of the school’s evaluation form. This should be discussed with the student for theirbenefit or done after the rotation.EVALUATION OF MEDICAL STUDENTSPage 143 of 153C:\Documents and Settings\dhutak\Desktop\rshb13.doc