Clinical Log

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 observe or 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).

During the OB/GYN Clerkship, students are required to have at least one clinical encounter involving the following conditions, symptoms and procedures.

*Please log all items accomplished during the clerkship using the course dates, i.e. from orientation date to shelf exam dates, in order for one45 to credit the item to the ob/gyn clerkship.  If you use dates of the weekend after the shelf exam, the items will not be credited to your clinical log for the ob/gyn course.

* If there are topics that you have not seen or got to experience clinically, then you will need  to read on the topic or discuss with a resident/faculty and then complete the Uwise quiz on that topic.  You can then check off the topic as “simulated experience.

Core Conditions

Disease, Symptom or Procedure

Cancer-Breast mass or cancer

Cancer-GU cancer

Dysfunctional Uterine Bleeding or Post-Menopausal Bleeding

Laceration

Pelvic Pain

Post-Operative Fever

Post-Operative Surgical Wound

Preeclampsia

Pregnancy and Labor/Delivery

Premature Birth

Preterm Labor

Sexually Transmitted Infection (excluding HIV)

Vaginitis or Vaginal Discharge

 

Course Specific Conditions/Symptoms

Menstrual complaints

Postmenopausal bleeding

Abnormal Cervix Smear

Ectopic Pregnancy

C-section

Hysterectomy

Vaginal delivery

Core Procedures

Pap smear and vaginalysis

Sterile technique

Vaginal delivery

Wound care/dressing

 

Course Specific Procedures

Breast Exam

Pelvic Exam (speculum and bimanual)

Screen and counsel for domestic violence

Screen for sexually transmitted infections

Sexual history

 

Monitoring

Students will review their clinical log progress at the mid-rotation feedback meeting.  If a student does not seem to be on target to complete the log by the end of the rotation period, alterations to their remaining schedules or special arrangements can be made to ensure an appropriate opportunity for completion.

 

 

 

 

oCore Conditions

Disease, Symptom or Procedure

Cancer-Breast mass or cancer

Cancer-GI cancer

Cancer-GU cancer

Dysfunctional Uterine Bleeding or Post-Menopausal Bleeding

Laceration

Pelvic Pain

Post-Operative Fever

Post-Operative Surgical Wound

Preeclampsia

Pregnancy and Labor/Delivery

Premature Birth

Preterm Labor

Sexually Transmitted Infection (excluding HIV)

Vaginitis or Vaginal Discharge

 

Course Specific Conditions/Symptoms

Menstrual complaints

Postmenopausal bleeding

Abnormal Cervix Smear

Ectopic Pregnancy

C-section

Hysterectomy

Vaginal delivery

Core Procedures

Pap smear and vaginalysis

Sterile technique

Vaginal delivery

Wound care/dressing

 

Course-specific procedures

Breast Exam

Pelvic Exam (speculum and bimanual)

Screen and counsel for domestic violence

Screen for sexually transmitted infections

Sexual history