Pulmonary & Critical Care Clerkship Rotation

CLERKSHIP ROTATION

The medical student(s) on the pulmonary service is(are) assigned to the attending physician
on the consultation service and will:

Meet with Amy Hoffman, RN (751-1100) and Bev Morris, secretary (MMC-D434)
for orientation on the first weekday of rotation. Pick up a copy of the call schedules.
See inpatient consults at MMC/SJH and attend outpatient clinics (schedule attached)
as assigned by the attending physician.
Read PFT’s daily in the MMC pulmonary function laboratory with the attending or pulmonary fellow assigned to PFT's.
Attend the following monthly Pulmonary conferences if available:

City Wide Chest Conf	TBA		Inquire at Pulm Office
Critical Care Conf	2^nd Tuesday	12:15pm – 1:00pm	Rm D219
ID Conf	3^rd Tuesday	1:00pm – 2:00pm	Rm D229B
Pathology Conf	4^th Tuesday	12:30pm – 1:30pm	Rm G157
Journal Club	4^th Tuesday	5:15pm – 7:00pm	Rm D443B (food provided)

Become familiar with the following respiratory medicine topics by using education resources available in the Pulmonary Library, the Pulmonary website and teaching sessions with attendings/fellows:

Obstructive Lung Diseases
Interstitial Lung Disease
Lung Neoplasms
Respiratory Tract Infections
Sleep-Related Breathing Disorders
Pleural and Chest Wall Disorders
Chest Imaging
Pulmonary Embolism

6. Meet with the attending faculty at the end of the rotation for feedback/evaluation.

Joseph Henkle, MD #1696
Haitham Bakir, MD #492-3288
Lanie Eagleton, MD #1368
Kent Kapitan, MD #467-1118
Akshay Sood, MD #467-0795

Fellows
Moutaz Sunbuli, MD #1249
Mohamed Heikal, MD #7538
Rajagopal Sreedhar, MD #5554
Ahmad Agha, MD #1757

Administrative Office (MMC-D434) 545-0187
Nurses (751-1100) 545-0182
Private line-Clinic (internal use only) 545-7002
Appointments 545-3880 or 545-0182

7. You will be expected to round on Saturdays with your resident/attending. You are off on Sundays. You will also be expected to take one night of call each week with a resident/fellow.

CLINIC POLICY

STUDENTS: Before examining a patient, please place your initials next to
the patient’s name on the board.
After the physician does the initial examination on the patient, and if testing
such as spirometry, pulse ox, allergy testing, or x-ray are needed in order to
complete evaluation of the patient, please indicate tests needed on the clinic
note and place the chart in the plastic bins in the clinic work room. The clinic
nurses will work from Bin #1 up to Bin #3 to complete the orders. After the
nurse has completed the orders, she will place the chart outside the patient’s
exam room and indicate that the testing is completed by writing "done" by the
room number on the board.
After the patient’s examination and testing is completed, the following
information should be completed on the clinic note:

Diagnosis – please mark PRIMARY diagnosis p, if more than
one diagnosis – needed to complete the charge ticket

Level of care – needed to complete the charge ticket

Studies/procedures to be scheduled

Therapy/prescriptions

Date of next visit and/or call

Physician signature with corresponding box checked

Dictation done – yes or no (copy of dictated note or a letter
should go to the referring physician)

If you complete your own prescriptions, please leave attached to the chart
so that the nurses may include these with their discharge instructions to the
patient. If the nurse completes the prescriptions, she will substitute for generic
and give refills unless you indicate otherwise.
If there is something in the orders that needs personal communication, please
notify a clinic nurse directly. If a clinic nurse is not available, notify the telephone
nurse who will convey the message to a clinic nurse when one becomes
available.
When the patient is ready for discharge, place the chart along with the clinic
note and the charge ticket in the plastic bins.

PULMONARY CLINIC SCHEDULE

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

Eagleton
9:00am – 2:00pm

Eagleton
9:30am – 11:00am

Bakir
9:30am – 12:00pm

Bakir
9:00am – 11:20pm

Eagleton
9:00pm – 11:15pm

Bakir
1:0pm - 4:00pm
(1st Monday)

Henkle
1:00pm - 4:00pm
(2nd & 4th Mondays)

Sood
1:30pm - 5:00pm

Henkle
1:00pm – 4:30pm

Eagleton
1:00pm – 5:15pm

Henkle
1:00pm – 4:15pm

Sood
1:00pm - 4:30pm

Clinic Schedule is subject to change due to out-of-town clinics, vacations, etc.

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