Clinical Log

Background

The Liaison Committee on Medical Education (LCME) is the agency that accredits medical schools in the United States. The LCME mandates that “an institution that offers a medical education program must have in place a system with central oversight to ensure that the faculty define the types of patients and clinical conditions that medical students must encounter, the appropriate clinical setting for the educational experiences, and the expected level of medical student responsibility. The faculty must monitor medical student experiences and modify them as necessary to ensure that the objectives of the medical education program are met.”

To ensure adherence to this mandate, UNC SOM created the UNC96, a list of conditions and symptoms reflective of the most important medical conditions in North Carolina (based on mortality, morbidity, prevalence, cost of care data, and faculty opinion). Before graduating, all students must participate in the care of patients with each of these conditions and symptoms. Students’ progress towards this requirement is monitored through the use of the Patient Log (on one45).

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UNC Family Medicine Clerkship Requirements

The conditions on the UNC 96 have been assigned to specific clerkships to assure that all students learn about these core conditions. During the Family Medicine Clerkship, all students are required to have contributed to the care of at least one patient with the conditions (from the UNC96 list) listed below.

As noted above, patient encounters will be monitored by completion of the Clinical Log (on one45). At the midpoint of the rotation (i.e., near the end of week 3), students will first review the Patient Log with their clinical preceptor and then with their clerkship campus director. In reviewing the log with the clinical preceptor, students should discuss ways of achieving the required patient contacts within the practice by the end of the clerkship. If towards the end of the the clerkship, there are still conditions which students has not encountered, the student should work through relevant cases in Family Medicine Case Files (available to students through Book Exchange and on reserve in the Health Sciences Library) and mark off conditions in the Patient Log. Note that some conditions overlap. If a patient has Ischemic Heart Disease and Hyperlipidemia, students may check off both. It is expected that all students complete all items on the Family Medicine patient log by the end of the 6 week rotation. The items are listed below and are the same as the log in One45.

Common complaints (30)

Chronic Conditions (13)

Screening for or Caring for patients with following conditions (12)

  • Abscess
    Abdominal Pain LLQ/Dyspepsia
    Adverse Medication Reaction
    Allergy
    Anxiety
    Back Pain
    Bronchitis, acute
    Cellulitis
    Chest Pain
    Chronic Pain
    Cough
    Dermatitis
    Diarrhea
    Dizziness
    Dyspnea
    Dysuria
    Edema
    Fatigue
    Fever
    Headache
    Hemorrhoids
    Influenza
    Irritable Bowel Syndrome
    Joint Injury/Neck Pain
    Lymphadenopathy
    Menstrual Complaints/ Dysfunctional Uterine Bleeding
    Nausea and/or Vomiting
    Pelvic Pain
    Red Eye
    URI symptoms/Sinus pain/Pharyngitis/Bronchitis
    Vaginitis or Vaginal Discharge
    Allergy
  • Anxiety Disorder
  • Back Pain
  • Bronchitis, acute
  • Cellulitis
  • Chest Pain
  • Chronic Pain
  • Cough
  • Dermatitis
  • Diarrhea
  • Dizziness
  • Dyspepsia (GERD Peptic Ulcers etc)
  • Dyspnea
  • Edema
  • Fatigue
  • Fever
  • Headache
  • Irritable Bowel Syndrome
  • Joint Injury/Pain
  • Lymphadenopathy
  • Menstrual Complaints/ Dysfunctional Uterine Bleeding
  • Nausea and/or Vomiting
  • Neck Sprains or Pain
  • Pelvic Pain
  • Pharyngitis
  • Pneumonia
  • Rectal Bleeding or Hemorrhoids
  • URI symptoms/Sinus pain/bronchitis
  • Urinary Tract Infection or Dysuria
  • Vaginitis or Vaginal Discharge
  • Arthropathy
  • Asthma
  • Atherosclerotic Cardiovascular Dz
  • Chronic Obstructive Pulmonary Dz
  • Congestive Heart Failure
  • Depression
  • Diabetes Mellitus (focus on Type II)
  • Hyperlipidemia
  • Hypertension
  • Kidney Dz, chronic
  • Neuropathy
  • Obesity
  • Thyroid Dysfunction
  • Alcohol Abuse
  • Cancer (breast, cervical, colon, ENT, lung, prostate, skin)
  • Domestic Violence
  • Sexually Transmitted Infection
  • Tobacco Abuse
  • Substance Abuse (other than alcohol and tobacco)

 

 

 

Common Procedures (6)

  • Abnormal EKG
  • IM/SQ Injections
  • Joint Aspirations/injection
  • Pap smear
  • Splint and/or casting
  • Use of local anesthetic



 

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