Administrative Checklist

This list contains all items that each student is required to complete during the course of their OB/GYN Clerkship.

OB/GYN CLERKSHIP ADMINISTRATIVE CHECKLIST

All items listed below are required by students from ALL sites and must be completed on the due date (indicated beside each item) in order to receive a 4 for the Administration portion (5%) of your final grade. Also, if your particular site has any other items that need to be returned and/or completed before the end of your clerkship, those items will need to be done as well in order to earn a 4 towards your Administration grade.  Failure to complete ALL items will result in a value of “0” for the Administrative portion (5%) of your final grade.

 

You can also access a pdf version of the checklist here.

 

 

OB/Gyn clerkship tasks

Due date/time

 

*ALL SITES

 

X

Orientation Attestation Form submitted (may appear as self-eval on your to-do list)

First day of rotation after orientation

X

OB Task Card

Day of Shelf Exam

X

Clinical Log (completed in One45)

8AM, Monday after Shelf Exam

X

Passed Complementary and Alternative Medicine Quiz (https://sakai.unc.edu/samigo-app/servlet/Login?id=9c3df002-0b4b-4bf9-be74-3bd03852653b1403705515127)

8AM, Monday after Shelf Exam

 X

 Attend Critical Incident Session

 Day of Ob-Gyn OSCE

 X

Complete and Email Narrative Essay to Sara Tinkham

1 week before Ob-Gyn OSCE

 

 

 

 

*CHAPEL HILL

 

X

APGO Objective Book, Beckman and Ling textbook, and surgical skills kit with ALL instruments and knot tying board

11:30 AM, Day of Shelf Exam to Sara Tinkham's office (3031 Old Clinic)

X

At least ONE evaluation of Resident

7 days after Shelf Exam

X

At least ONE evaluation of Faculty/Fellow

7 days after Shelf Exam

X

Submitted Clerkship Clinical Performance Evaluation-Self Assessment form for Mid rotation Feedback

8AM, Monday before Mid rotation feedback with Dr. Chuang/Evers

 

 

 

 

 

*WAKE

 

X

ID badge

Last day at Wake

X Surgical skills kit 11:30 AM, Day of Shelf Exam to Sara Tinkham's office (3031 Old Clinic)

X

Pager

Last day at Wake

X

APGO Objective Book

Last day at Wake

X

Obstetrics & Gynecology book – 5th or 6th editions

Last day at Wake

X

Gestation Wheel

Last day at Wake

X

Common Phone Numbers “Laminated Card”

Last day at Wake

X

Return combination lock

Last day at Wake

Midrotation review requirements

X

Submitted Clerkship Clinical Performance Evaluation-Self Assessment form  for Mid rotation Feedback

Before mid-rotation review w/ Dr. Gantt
X

Clinical log up-to-date

Before mid-rotation review w/ Dr. Gantt
X

Bring copy of H&P from first 3 weeks

At mid-rotation review w/ Dr. Gantt

 

 

 

 

*CHARLOTTE

 

X

CANOPY modules completed & certificates sent to Gina  Davis (x4)

Prior to first day

X

Complete Student Information Questionnaire

Prior to first day

 

Midrotation review requirements

 

X

Evaluations distributed/returned for first 3 weeks

Before mid-rotation review w/ Dr. Bliss

X

Submitted Clerkship Clinical Performance Evaluation-Self Assessment form  for Mid rotation Feedback

Before mid-rotation review w/ Dr. Bliss

X

Clinical log up-to-date

Before mid-rotation review w/ Dr. Bliss

X

Bring copy of H&P from first 3 weeks

At mid-rotation review w/ Dr. Bliss

X

Oral presentation topic discussed

At mid-rotation review w/ Dr. Bliss

 

Complete CMC required forms on ONE45

 

X

APGO Excellence in Teaching (for faculty nominee)

Last day of rotation

X

Resident Excellence in Teaching

Last day of rotation

X

Evaluations of each rotation

Last day of rotation

X

Evaluations of Residents/Faculty

Last day of rotation

X

Beeper returned

Last day at Charlotte

X

Red book returned

Last day at Charlotte

X

ID badge/needle stick policy hangtag returned

Last day at Charlotte

 

 

 

 

*ASHEVILLE (Longitudinal Students)

 

X

Attend complementary alternative medicine didactic day or pass Complementary Alternative Medicine quiz (UNC website)

Last day of rotation

X

Orientation Attestation Form submitted

By November 1st

 

Midrotation review requirements

 

X

Evaluations distributed/returned for inpatient rotations

Within one week of completing second L&D week

X

Submitted Clerkship Clinical Performance Evaluation-Self Assessment form  for Mid rotation Feedback

Before mid-rotation review w/ preceptor

X

Clinical log up-to-date

For mid-rotation review w/ preceptor

X

Select evaluator for Oral Presentation

One week after presentation

X

Task Card Completion

Last day of rotation

X

All required evaluations distributed via one45

Last day of rotation

X

APGO Objective Book

Last day of rotation

X

Obstetrics and Gynecology Sixth Edition - Lippincott, Williams & Wilkins

Last day of rotation

X

Blueprints Obstetrics & Gynecology - Callahan & Caughey

Last day of rotation

X

Obstetrics, Gynecology & Infertility Sixth Edition - (Handbook for Clinicians)

Last day of rotation

 

*WILMINGTON

 

X ID badge Last day at Wilmington
X Pager Last day at Wilmington
X APGO Objective Book Last day at Wilmington
X Obstetrics & Gynecology book – 5th or 6th editions Last day at Wilmington
X

Key to apartment returned (When using Ahec housing)

Last day at Wilmington