Student Responsibilities  

GENERAL RESPONSIBILITIES
  1. Having the initial write-up and daily progress note on each patient reviewed by the resident.

  2. Setting aside time each day to discuss cases with the resident and to have written work reviewed by the resident.
  3. Making every effort to use the resident as a resource.  This includes being available and willing to answer resident's questions, to follow the resident's direction to appropriate resources and to assimilate constructive criticism in a professional manner.
  4. Maintaining proper medicolegal practices and professional etiquette. Specifically:
  1. Under no condition should notes in the medical record be altered, erased, or obliterated.  Erroneous material can be struck at the time it is entered by the author; such action should be initialed.  Comments about the student work-ups or other notes may and often should appear in the margins of these notes.

  2. Comments about other work-ups or notes should be factual and not judgmental.  Remember that non-physicians, including the patient, may review these records. 

CLINICAL APPROACH TO THE PATIENT

  1. On the day of admission:

    1. Perform a complete, independent interview, physical examination, and laboratory review and
    2. Prepare a complete write-up of the patient regardless of other entries in the record.  These activities must be completed on the day of admission.
  2. Student assuming responsibility for a patient already hospitalized must write a "Student's On-Service Note."  The on-service note is a review of the patient's history and physical prior to the student's involvement with that patient.