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HISTORY AND PHYSICAL EXAMINATION
REQUIREMENTS FOR
SURGICAL CLERKSHIP
The
performance of an appropriate history and physical examination of a surgical
patient is one of the skills students are expected to acquire during the
surgical clerkship. Students will perform several history and physical
examination of surgical patients throughout their rotation. However, formal
evidence of meeting this requirement must be presented using the following
process:
H&P (written by the
student) 1-2 page review of topic
- Identify a
patient. An appropriate patient for your history and physical
examination should be identified within the first two weeks of your
first general surgery (not subspecialty) experience. You are encouraged
to seek advice and guidance
on this from your residents or attendings.
- Perform a thorough history and
physical examination on the patient, completing the entry in the
patient's medical record, including a resident or attending
countersignature. Be sure to include the pertinent positives and
negatives on the history (including the components of the past surgical
history, past medical history, medications, social history, family
history, etc.) and the physical examination. Your evaluation will depend
upon your ability to cover the pertinent positives and negatives.
- Photocopy
(Xerox) the history and physical examination, leaving the original in
the patient's chart.
- Write a
concise monograph 1-2 pages about the patient's disease, including its'
etiology, natural history, presenting symptomatology, diagnostic
evaluation, treatment, including surgical approaches, and outcomes.
- Minimum of 3
original articles from the literature (excluding textbooks, MD consult
or similar sources)
- Make an
appointment to meet with the surgical attending responsible for the
patient. Bring your copy of the H&P and your monograph. The attending is
responsible for reviewing the H&P with you and providing comments that
will be used in the evaluation of your performance of this requirement.
This should be
done during your General Surgery rotation at either Loyola, Hines or
Resurrection.
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