UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
TUSCALOOSA, ALABAMA
OBSTETRICS & GYNECOLOGY CLERKSHIP
MANUAL
DANIEL M. AVERY, MD
CLERKSHIP DIRECTOR
REVISED MARCH 2006
TABLE OF CONTENTS
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
Program Overview
Orientation Schedule
2006-2007 OB/GYN Clerkship Orientation Packet
Daily Schedule
OB/GYN Clinic Schedule
Duties of Third Year Medical Students
Lectures for Medical Students
OB/GYN Medical Student Presentations
Clinical Case Presentations
Medical Student Grading Policy
Policy on Student Contact Hours and Clinical Duty
Hours
12. Mid-Clerkship Evaluation
PROGRAM OVERVIEW
Direct patient-student contact in clinical settings, both inpatient and outpatient, will be
utilized to illustrate curricular content. Small group discussions, lectures by full-time and
part-time faculty, audiovisual aids and computer programs will be used to supplement
patient-student contacts.
The basic text is Obstetrics & Gynecology by Beckmann, et al, fifth edition. This single
text contains the basic elements of the core curriculum. A copy of the text is available for
each student to borrow during the clerkship. Additional texts in Obstetrics, Gynecology,
Maternal-Fetal Medicine, Reproductive Endocrinology, Gynecologic Oncology, Pelvic
Surgery, Anatomy, Pathology and Pharmacology are available in the Department Library
in the medical students’ work area, Clerkship Director’s office, Health Sciences Library
and Labor & Delivery. Textbooks must returned to the department before receiving final
grades.
Students will learn:
1. To make a diagnosis of pregnancy;
2. To identify and manage usual problems occurring during the prenatal period and
to identify high-risk obstetrics patients
3. To manage normal labor and to recognize and develop a management plan for
abnormal labor;
4. To utilize fetal monitoring equipment and to be competent to interpret basic
abnormalities of fetal heart rate tracings.
Students will participate in vaginal deliveries, cesarean sections, tubal ligations, repair of
episiotomies and observe circumcision of normal newborn male infants.
Students will gain experience in seeing gynecologic patients and performing pelvic
examinations. Experience in contraception, neoplasia, infectious disease and
endocrinology and psychosomatic diseases affecting women is available. The
identification, evaluation and treatment of gynecologic problems is stressed. Students will
participate in a wide range of invasive diagnostic and therapeutic techniques.
Students will assist in gynecologic surgical procedures performed in the hospital and in
the ambulatory facilities, participating in both elective and emergency surgery for both
benign and malignant diseases.
ORIENTATION SCHEDULE
ORIENTATION & DEMONSTRATION ON DAY 1
6:30 AM---7:30 AM
ORIENTATION TO FLOOR, LABOR & DELIVERY,
CHARTS, EMERGENCY ROOM BY HOUSESTAFF
7:30 AM---9:00 AM
ORIENTATION TO MORNING REPORT, STUDENT
PRESENTATIONS & ROUNDS BY ATTENDINGS
9:00 AM---11:00 AM
ADMINISTRATIVE ORIENTATION WITH CALL,
SCHEDULES, HANDBOOKS, VIDEO PRESENTATIONS
WITH MS. JACKIE NUCKOLS, ADMINISTRATIVE
ASSISTANT AND CLERKSHIP COORDINATOR
11:00 AM---12 NOON ORIENTATION TO CLINIC AND ELECTRONIC
MEDICAL RECORD BY FELLOWS & RESIDENTS
12 NOON---1:30 PM
CLERKSHIP DIRECTOR MEETS WITH STUDENTS IN
OB/GYN CONFERENCE AREA
FIRST FRIDAY OF CLERKSHIP, INTRODUCTORY FETAL HEART RATE
MONITORING CLASS TAUGHT BY KATHY ROBERTS, RN, CRNP, MSN,
CERTIFIED EFM INSTRUCTOR IN 3RD FLOOR OB/GYN CLASSROOM AT
1:30 PM.
***INITIALLY STUDENTS OBSERVE ATTENDINGS, FELLOWS AND
HOUSESTAFF PERFORMING PELVIC AND BREAST EXAMINATIONS
FOLLOWED BY SUPERVISED PERFORMANCE BY STUDENTS.
2006-2007 CLERKSHIP ORIENTATION PACKET
CLERKSHIP DIRECTOR: Daniel M. Avery, MD
Office 348-1398
Home 345-4444
Pager 464-5046
Cell 393-1020
Clinic 348-1270/1266
L&D 759-7450
Winfield 205-487-2004
ATTENDINGS: Dr. Daniel M. Avery—Chairman of OB/GYN
Dr. Dwight E. Hooper—Division Chief of GYN
Dr. Will Lenahan—Part time OB/GYN
Dr. Cathy Avery Skinner—Family Med/OB
Dr. John B. Waits—Family Med/OB
Dr. Louis Payne—occasionally covers GYN
Dr. Cindy Dedmon—Private Family Med/OB
Dr. Beverly Joseph—Private Family Med/OB
Dr. David B. Partlow, Jr.—Private OB/GYN
Dr. Karl Harbin—Private OB/GYN
Dr. Jim Poist—Private OB/GYN
Dr. Steve Madden—Private OB/GYN; Chair
of OB/GYN for DCH Regional Medical Center
Dr. Charles Mentel—Private OB/GYN
FELLOWS:
Dr. Clifton Garris, Instructor in OB/GYN
FETAL MONITOR INSTRUCTOR: Kathryn Roberts, RN,
CRNP, MSN, Adjunct Assistant Professor
ADMINISTRATIVE ASST/CLERKSHIP COORDINATOR/
OBSTETRICS FELLOWSHIP COORDINATOR:
Jackie Nuckols 348-1398
NURSES: Becky Tierce, LPN, Charge Nurse
Essie McCollins, LPN
Ginger Lovin, LPN
RECEPTIONIST: Sylvia Bostic; Sheila Mullinex; 348-1270
SPANISH INTERPRETER: Maria Hollingsworth
RESIDENTS: Family Practice Residents vary by the month
Usually two interns; one or two senior residents
UAB OB/GYN Senior residents on Mondays in OR
SAMPLE BOARD QUESTIONS ON CDs
CALL: Every 4th night; call is 12 PM to 12 PM on weekdays; 8AM to 8
AM on weekends. CANNOT leave hospital while on call. Can go home
after lunch after noon conference but must return for any lecture if on
call night before. Leave pager number on board in Labor & Delivery.
Wear scrubs. Maximum 80 hour work week.
SURGICAL SCRUBBING: If you have never scrubbed in surgery and do
not know surgical technique go to scrub course in OR first day of
clerkship at noon
IF YOU HAVE TO LEAVE OR GO HOME FROM CALL, MISS
SCHOOL, HAVE A DEATH IN YOUR FAMILY, GET SICK: Tell me or
attending on call.****SEE NEW ATTENDANCE POLICY****
****SEE NEW WORK HOURS POLICY****
OBJECTIVES: We will go over; copy on CD, Manual & Web site
TEXTBOOK: You will receive a copy of Beckmann et all to use during the
clerkship. There is a reading schedule. We will discuss 10 chapters per
week. You must read material before lectures. Return Textbook and
Question CD after clerkship. I have a study guide and a summary if you
want one for review at the end of the course before exams
LECTURES: Monday 1 PM Conference Table At Faculty Offices by
Dr. Avery; 1 hour; reading schedule supplied; Textbook
chapters
Tuesday 1 PM Conference Table at Faculty Offices by Dr.
Avery; Instrumental Obstetrics & Surgical Gynecology
Wednesday 1 PM: Board Review Questions, High Risk
Obstetrics, Intensive Care Medicine; Conference Table at
Faculty Offices; Dr. Avery
Thursday 1 PM: Case Presentations with Attendings &
Fellows; location TBA
Friday 1 PM: Textbook chapters with Fellows
FETAL HEART RATE MONITORING COURSE: first Friday afternoon
of clerkship at 1:30 in 3rd floor conference room in hospital; Mrs. Roberts
STD/SURGICAL KNOT TYING/SURGICAL CLOSURE TESTS: must do
pretest the first week of the clerkship and the posttest the last week of the
clerkship
GRAND ROUNDS: Friday at noon in Willard Auditorium in hospital;
always try to attend; lunch provided
RESIDENT NOON CONFERENCES: Go if possible; location varies;
always go if OB/GYN Attendings giving lecture; lunch provided
PERINATAL MORBIDITY & MORTALITY CONFERENCE: Monthly
on Tuesdays at hospital at noon; Required; lunch served
ORAL EXAMINATION REVIEW: Mon at 1 PM after textbook completed
STUDENT PRESENTATION: following morning report each morning;
OB conference room on 3rd floor in hospital; see schedule. 2 page
maximum handout. 10-15 min. If I am not present at rounds, put a copy of
your presentation under my door; samples available
CASE PRESENTATIONS: 1 PM Thursdays in Classrooms with Fellows;
one student presents on a topic; last 45-60 minutes
MORNING ROUNDS: everyday; 7:30 AM in OB conference room on 3rd
FLOOR. Must arrive at hospital 6:30 and see your patients and write notes
before morning report. Present patients>student lectures>see patient with
attending, fellows & residents. NO FOOD IN THE CONFERENCE
ROOM. PLEASE CLEAN UP ANY MESS LEFT AFTER ROUNDS. DO
NOT BRING PATIENT CHARTS TO ROUNDS. NO NOTES AFTER
FIRST TWO WEEKS UNLESS PATIENT IS VERY COMPLICATED.
DRESS: Always wear scrubs if in hospital on call; there is usually not
time to change for a delivery; in clinic wear scrubs or appropriate street
clothes with a lab coat.
SURGERY: Monday and Friday 7 AM usually in Outpatient surgery in
tower; can be main OR on 2nd floor if emergency, weekend or nights
CLINIC: All students except those on call in the hospital go to clinic in
UMC OB/GYN every day after rounds; starts at 9 AM. Try not to be late.
There will be orientation to clinic. Clinic every morning and Wed and
Thurs afternoon which starts at 1:30
TYPES OF CLINIC PATIENTS & NOTES:
**ALWAYS DOCUMNENT FETAL HEART TONES ON/AFTER 15
WEEKS. ALWAYS DOCUMENT KICK COUNT INSTRUCTION
ON/AFTER 20 WEEKS.
New Obstetrics Patient (NOB): Comprehensive H&P + labs +/- sonar
Return Obstetrics Patient (ROB): Brief visit with flow sheet + brief note;
+/- periodic labs, sonar, tests + FHTs
High Risk Obstetrics Patient/Obstetrics Patient with Problems: same +
more comprehensive note + FHTs
Early Pregnancy Patient with Problems: Comprehensive visit if first visit
or brief GYN visit if return visit; i.e., early pregnant with bleeding
New Gynecologic Patient/Yearly Well Woman Visits/Referred
Patient/Office Consultation/Hospital or Emergency Room Referrals:
Comprehensive H&P + ancillary studies
Family Planning: New or Established Annual Visit: like yearly well
woman visit
Periodic Visit: brief visit
Brief Visit for Oral Contraceptives or depoProvera
Test Results: Visit to give patient test results; usually no charge visit
Established Patient/Follow Up Visit: Patient returns for a specific reason
Visit for a Procedure: Sonar, colposcopy, cryptherapy, Endometrial
biopsy, IUD Placement, LEEP, Vulvar Biopsy, etc.
Staple Removal: Visit after surgery or Cesarean Section to remove
staples; brief visit and note
Preoperative Visit: Usually need a comprehensive H&P, discussion of
surgery and many need to see Ms. Nuckols about surgery scheduling
MOST COMMONLY ASKED QUESTION IN CLINIC: Do I need to do a
pelvic exam?Do cardiologists listen to the heart? Do pulmonologists listen
to the lungs? Do general surgeons feel of the abdomen or diseased part of
the body? MOST OF OUR PATIENTS NEED A PELVIC EXAM!!!!!!
Complete History & Physical including Pelvic Examination:
New Patients: Obstetrics & Gynecologic
Consultations
Referrals
Yearly Well Woman Visits
Annual Family Planning
Hospital Referrals
CODING & BILLING: Directions for both taught during clerkship; Most
all of prenatal care is global care; Code is Prenatal Care
CLINIC ATTENDINGS: Try to work with a single attending for a single
patient.
E*VALUE LISTS: MUST DO DAILY; I will give you a list to go by; Must
be up to date by midclerkship evaluation at 4 weeks; has to be completed
before grade can be given; regardless of rest of grades, final grade is
incomplete and not passing without completed and reasonable E*Value
List. We will go over at length. Must complete required numbers. Turn in
list at 4, 6 and 8 weeks to me for review.
WEB SITES: available at Tuscaloosa Campus link or through UAB;
www.obgyn.uab.edu
GRADE: ALL GRADES ARE FINAL AND WILL NOT BE CHANGED
1/2 grade from clinical performance; ¼ oral exam; ¼ miniboard
HAVE TO PASS MINIBOARD TO PASS CLERKSHIP; Oral exams may
be taken earlier than scheduled date if desired. May retake Oral Exam in
24 hours if unsatisfactory performance or unsatisfactory testing
MIDCLERKSHIP EVALUATION: at 4-5 weeks; let me immediately if
you are having any type of problem
MID-COURSE EVALUATION: evaluation of clerkship at 4 weeks with
immediate feed-back; done by students; evaluated by UA Faculty
Development Office
DAILY SCHEDULE: attached
MENTOR PROGRAM: I am mentor and faculty advisor for OB/GYN and
Pathology; please call me if you have any career interest in either field
EVALUATIONS: Attendings, fellows and residents evaluate students;
students evaluate course, residents, fellows, attendings. PLEASE BE
HONEST AND CONSTRUCTIVE!!!I will change clerkship each rotation
based on your comments
RESEARCH PROJECTS AND PAPERS: Let me know if you are
interested in working on a research project or paper for publication
CHAPERONES: Code of Alabama requires a female chaperone for a
male or female examining a patient’s breasts or genital region in the
clinic, ER, L&D, floor, OR, ICU, triage
RAP UP SESSION: At end of clerkship on last day; lasts 20 minutes. BE
HONEST!
DAILY SCHEDULE
FOUR TO SIX STUDENTS PER CLERKSHIP: CALL EVERY 4TH NIGHT; 1-2
STUDENTS STAY IN THE HOSPITAL; REST GO TO CLINIC
6:30 AM---7:30 AM
SEE PATIENTS ON THE FLOOR AND COMPLETE
PROGRESS NOTES
7:00 AM---12 NOON
SURGERY ON MONDAYS AND FRIDAYS IN THE
MEDICAL TOWER OPERATING ROOMS
7:30 AM---9:00 AM
MORNING REPORT WITH ATTENDINGS
STUDENTS PRESENT PATIENTS & PLAN OF CARE
STUDENT PRESENTATIONS (15 MINUTES)
DISCUSSION OF PRESENTATION
FLOOR, LABOR & DELIVERY, ICU ROUNDS
9:00AM---12 NOON
CLINIC AT UNIVERSITY MEDICAL CENTER
(SCHEDULE ATTACHED)
12 NOON---1:00 pm
NOON LECTURES AT HOSPITAL
PERINATAL MORBIDITY & MORTALITY-TUESDAY
GRAND ROUNDS-FRIDAYS
1:00 PM---2:00 PM
CHAPTER LECTURES: DR. AVERY-MONDAY
1:00 PM---2:00 PM
INSTRUMENTAL OBSTETRICS/SURGICAL
GYNECOLOGY: DR. AVERY-TUESDAY
1:00 PM---2:00 PM
BOARD QUESTION REVIEW/INTENSIVE CARE
MEDICINE/HIGH RISK OBSTETRICS/ORAL
EXAM REVIEW/BOARD EXAMINATION TECHNIQUE:
DR. AVERY-WEDNESDAY
1:00 PM---2:00 PM
CASE PRESENTATION WITH ATTENDINGS &
FELLOWS-THURSDAY
1:00 PM---2:00 PM
CHAPTER LECTURES WITH FELLOWS-FRIDAY
1:30 PM---4:30 PM
AFTERNOON CLINIC ON WEDNESDAYS &
THURSDAYS
OB/GYN CLINIC SCHEDULE
AM
MONDAY
OBSTETRICS
TUESDAY
GYNECOLOGY
COLPOSCOPY
WEDNESDAY
GYNECOLOGY
COLPOSCOPY
THURSDAY
FRIDAY
PM
*PRIVATE OB/GYN
*NEW WOMENS CLINIC
*PRIVATE OB/GYN
OBSTETRICS
HIGH RISK OB
GYNECOLOGY
COMPLICATIONS
CLINIC
*WINFIELD
*WINFIELD
OBSTETRICS
*PRIVATE OB/GYN
COLPOSCOPY
(FELLOW)
DUTIES OF THIRD YEAR MEDICAL STUDENTS
OBSTETRICS
1.
2.
3.
4.
Staff Labor & Delivery
Get involved with as many patients as possible
Assist and accompany the residents during the day in Labor & Delivery
Make rounds on all vaginal deliveries. To assist the residents, please write a daily
progress note and bring it to the attention of the resident.
5. Make rounds on ANY postoperative patient: cesarean section, tubal, ectopic,
hysterectomy or any gynecologic patient with whom you may have been
involved.
All patients admitted to Labor & Delivery should have a student History & Physical. All
patients must have a resident admit note (RAN).
GYNECOLOGY
All gynecologic admissions must also have a History & Physical. All patients must have
a both a resident and medical student history and physical. The upper level resident
writes a resident admit note (RAN). The intern dictates a comprehensive history and
physical.
ALL ORDERS MUST BE SIGNED BY A RESIDENT, FELLOW OR ATTENDING.
What Medical students are not expected to do:
1.
2.
3.
See patients in the Emergency Room without the resident, fellow or attending
being physically present.
Give orders for medications or treatments to the nursing staff without the
clearance of the resident, fellow or attending.
Discharge patients from the outpatient clinic without first presenting the patient
to the supervising resident, fellow or attending.
ENCOUNTER FORMS
The labor graph or Friedman Curve is the department’s record of a medical student’s
obstetrical experience. Graphs should be prepared for two patients that the student
follows during labor.
LECTURES FOR MEDICAL STUDENTS AND HOUSESTAFF
DANIEL M. AVERY, MD
Health Care for Women
Ethics in Obstetrics & Gynecology
Embryology, Anatomy & Reproductive Genetics
Maternal Fetal Physiology
Antepartum Care
Intrapartum Care
Isoimmunization
Postpartum Hemorrhage
Postpartum Infection
Abortion, Spontaneous, Induced, Prolife Choices, Moral Dilemmas
Ectopic Pregnancy, Medical & Surgical Management
Medical & Surgical Conditions of Pregnancy
Postterm Pregnancy
Preterm Labor
Premature Rupture of Membranes
GBS Prophylaxis
Obstetric Procedures, Past and Present
Contraception
Sterilization
Vulvovaginitis
Sexually Transmitted Diseases
Endometriosis
Dysmenorrhea
Pelvic Pain
Breast Disease
Gynecologic Procedures
Reproductive Cycle
Puberty
Amenorrhrea
Dysfunctional Uterine Bleeding
Hirsutism
Virilization
Cell Biology and Cancer Therapy
Gestational Trophoblastic Disease
Vulvar & Vaginal Cancer
Cervical Cancer
Abnormal Pap Smears
Fibroids
Pelvic Masses
Uterine Cancer
Endometrial Hyperplasia & Cancer
Ovarian Cancer
Physician Impairment
Postmenopausal Bleeding
Menopause
Medical Student Work Hours
Medical Student Impairment
OB/GYN MEDICAL STUDENT PRESENTATIONS
1. DIAGNOSIS OF PREGNANCY
2. PHYSIOLOGIC CHANGES OF PREGNANCY
3. LABOR
4. DELIVERY
5. PAP SMEARS & CERVICAL CANCER
6. PRENATAL CARE
7. FETAL HEART RATE MONITORING/NST/CST/BPP
8. PRETERM LABOR
9. CONTRACEPTION & STERILIZATION
10. MENSTRUAL CYCLE
11. MENOPAUSE & HORMONE REPLACEMENT THERAPY
12. FIBROIDS & PELVIC MASSES
13. THIRD TRIMESTER BLEEDING
14. ABNORMAL UTERINE BLEEDING
15. HYPERTENSION IN PREGNANCY
16. VULVOVAGINITIS
17. BREAST CANCER & MAMMOGRAPHY
18. ULTRASOUND
19. POSTPARTUM INFECTIONS
20. GESTATIONAL DIABETES
21. OVARIAN CANCER
22. SEXUALLY TRANSMITTED DISEASES
23. INFERTILITY
24. MULTIPLE GESTATION
25. PELVIC PAIN
26. RH DISEASE & RHOGAM
27. STRESS URINARY INCONTINENCE
28. PREMATURE RUPTURE OF MEMBRANES
29. ENDOMETRIAL HYPERPLASIA & CANCER
30. ECTOPIC PREGNANCY
31. SHOULDER DYSTOCIA
32. ENDOMETRIOSIS
33. POSTPARTUM HEMORRHAGE
34. ABORTION
35. SEXUAL ASSAULT
36. GENETICS IN PRACTICE
37. PMS
38. PCOD & HIRSUTISM
CLINICAL CASE PRESENTATIONS
Postmenopausal Bleeding
Abnormal Pap Smears and Management
Contraception and Oral Contraceptives
Amenorrhea
Sexually Transmitted Diseases
Third Trimester Bleeding
Asymptomatic Bacteriuria
Premature Labor
Premature Rupture of Membranes
Preeclampsia and Management
Postoperative Fluid Management after Major Surgery
RLQ Pain
Abdominal Pain during Pregnancy
Pelvic Pain
Reproductive Genetics
MEDICAL STUDENT GRADING POLICY
Effective July 1, 2004, all students who enter the University of
Alabama School of Medicine will be graded by a normative pass-fail
grading system. This normative pass-fail grading system will assign
a grade as follows:





All graded courses, clerkships and electives will continue to
assign a raw score for the performance of each student enrolled.
The raw score shall range from 0 to 100 with a score of 70 and
higher established as a passing score.
The grade of P1 will be assigned to those students who have
passed and achieved a raw score in the top quartile of all passing
students.
The grade of P2/3 will be assigned to all students who have
passed and achieved a raw score in the second and third quartile
of all passing students.
The grade of P4 will be assigned to all students who have
achieved a raw score in last quartile of all passing students.
The grade of F will be assigned to those students who have not
achieved a raw score of 70 or higher and failed the course.
Students who have enrolled prior to July 1, 2004 will continue their
academic work and be graded using the current letter grade system.
Students who have had their academic progress interrupted and will
return after July 1, 2004 will be graded according to the grading
policy effective for the class with which they will resume their
academic work.
This policy was reviewed and unanimously approved by the School
of Medicine Executive Committee on January 20, 2004, and by the
Dean on February 3, 2004.
© 2001 University of Alabama School of Medicine. Copyright Information About this site. UASOM News
Archive Disclaimer
UME Home
Senior Associate Dean:
Dennis W. Boulware,
MD, FACP
Undergraduate Medical
Education Faculty and
Staff
UME Responsibilities
Volker Hall 202
1530 THIRD AVE S
BIRMINGHAM AL
35294-0019
Tel: (205) 934-5678 or
(205) 934-9498
Fax: (205) 934-3278
POLICY ON STUDENT CONTACT HOURS AND CLINICAL DUTY
Purpose:
The School of Medicine recognizes that education is the primary
goal of medical students. This policy outlines the limitations on work
hours to allow students to maximize the educational benefit and limit
fatigue which may impair the student’s ability to learn. The policy
will include oversight of all aspects of the educational experience of
a medical student.
Policy:
Students will be provided a sound education experience that is
carefully planned and balanced with concerns for patient safety and
student well-being. The learning objectives of each educational
experience cannot be compromised by excessively scheduled
contact hours in the pre-clinical educational experience or clinical
assignments in the clinical educational experience. The oversight of
this policy will be the responsibility of the Senior Associate Dean of
Medical Education and the Medical Education Committee.
Specifics of the Policy and Procedure:
Pre-clinical Education
1. Although, the vast majority of educational activities in preclinical education do not require mandatory student
attendance, monitoring of all scheduled educational activities
will be included in this policy.
2. At least annually, the Medical Education Committee will
monitor the scheduled student contact hours for all required
courses to assure that learning is not compromised by an
excessively dense educational schedule.
3. Any concerns of the Medical Education Committee will be
reported immediately to the Senior Associate Dean for
corrective action.
Clinical Education:
1. Every clinical educational experience must have established
policies regarding student duty hours and inform students of
the experience’s policy.
2. Duty hours are defined as all clinical and academic activities
related to the educational experience; i.e., patient care (both
inpatient and outpatient), administrative duties relative to
patient care, the provision for transfer of patient care, time
spent in-house during call activities, and scheduled activities
such as conferences. Duty hours do not include reading and
preparation time spent away from the duty site.
3. When averaged over 4 weeks or during the length of the
experience whichever is shorter:
UME Home
Senior Associate Dean:
Dennis W. Boulware, MD,
FACP
Undergraduate Medical
Education Faculty and
Staff
UME Responsibilities
Volker Hall 202
1530 THIRD AVE S
BIRMINGHAM AL 352940019
Tel: (205) 934-5678 or
(205) 934-9498
Fax: (205) 934-3278
a. Duty hours must be limited to 80 hours per week,
inclusive of all in-house call activities.
b. In-house call must occur no more frequently than
every third night.
c. Students must be provided with 1 day in 7 free from
all educational and clinical responsibilities, inclusive
of call. One day is defined as 1 continuous 24-hour
period free from all clinical, educational, and
administrative duties.
4. Clerkship directors and the Assistant Dean for Clinical
Education will be responsible for monitoring student duty
hours at least semi-annually and report compliance to the
Medical Education Committee.
5. Any concerns of the Medical Education Committee will be
reported immediately to the Senior Associate Dean for
corrective action.
6. Student with any concerns of duty hours should report their
concern to the Assistant Dean for Clinical Education or the
Senior Associate Dean for corrective action. The student
should also report any work hour issues on the end of
clerkship evaluation, which is monitored by the Clerkship
director, Assistant Dean for Clinical Education and the
Medical Education Committee.
Approved March 24, 2006 by Robert R. Rich, MD, Senior Vice
President and Dean of the University of Alabama School of Medicine
© 2001 University of Alabama School of Medicine. Copyright Information About this site. UASOM
MIDCLERKSHIP EVALUATION
History and Physical Skills
Needs
Improvement
Satisfactory
Excepti
Specific
comments/examples:
This
report
should be filled out by the attending physician
or senior resident, reviewed
with the student,
and
copy returned to the clerkship director. Specific comments0 regarding
areas
needing
attention
and8ways9 for10th
1
2
3
4
5
6
7
student to improve are required.
Case Presentation
Specific comments/examples:
Needs
Improvement
0
Data Analysis/Differential Diagnosis
Specific comments/examples:
Specific comments/examples:
Specific comments/examples:
Specific comments/examples:
1
1
1
2
3
1
5
6
7
8
4
5
2
3
4
5
6
7
8
3
4
5
6
7
8
3
4
5
9
10
9
10
Excepti
6
7
8
Satisfactory
2
10
Excepti
Satisfactory
2
9
Excepti
Satisfactory
Needs
Improvement
0
4
Excepti
Satisfactory
Needs
Improvement
0
Professionalism
3
Needs
Improvement
0
Use of Outside Resources and Medical Literature
2
Needs
Improvement
0
Factual Knowledge/Critical Thinking
1
Satisfactory
9
10
Excepti
6
7
8
9
10
Additional Comments:
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
Preceptor Signature_____________________________
Date_____________
Student Signature_______________________________
Date Reviewed_____________