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 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 surgery 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, complete 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.
  • Return H&P evaluation, monograph (please include articles list) and patient's history and physical (whiteout patient's information: DOB, MR# and name) to the Medical Education Coordinator, Renata Barylowicz, in the SSOM, room 320 within one week after the presentation.


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   Loyola University Chicago Stritch School of Medicine. All rights reserved.
Please send questions or comments to: Renata Barylowicz
Updated: 07/31/2012 ... Created:9/23/06