Medical Education

The OhioHealth Doctors Hospital Department of Medical Education office serves as the primary point of contact and administration for your 4th year elective clinical rotation. In order to successfully complete and pass a clinical rotation, each student will need to comply with local policies and procedures. This includes a formal orientation on the first day of service. At the end of your rotation, a formal check-out in the Medical Education office is also required. You will be asked to complete paperwork (in addition to what your school requires), turn in your ID badge, pager, etc. All rotations end no later than 4:00 PM on the last Friday of the rotation.

You must not start before your rotation's official start date.

Failure to comply with this rule will lead to immediate termination of your rotation, and your removal from consideration for a residency at this hospital.

Scope of Responsibility
The ultimate responsibility for patient care lies with the attending physician. As a medical student, you can expect to work under the direct supervision of a resident, fellow or attending physician. You may, in the presence of your supervisor, participate in patient examination and take medical histories. The attending physician must approve and submit every note or order the student writes for it to be used in the permanent record.

Limitations
As a clinical student, you may respond only to the direction of a member of the Medical Staff to perform a procedure in the presence of that staff member. Any participation in performance of History and Physical Examination, progress note, etc. may only be performed under the direct supervision of a licensed physician, fellow or resident holding a temporary license and must be countersigned, dated, and timed within 24 hours by a licensed physician, fellow or resident holding a temporary license.

Under no circumstance should you, as a medical student, write orders or act as a scribe for a licensed practitioner (medical staff rules and regulations Section IV, Paragraph I). Violations of this rule and a portion of the Medical Practice Act, Ref OAC 4731.41 could prevent you from being licensed in the state of Ohio and could constitute a charge of unprofessional conduct

Work Hours
Your typical day will begin at 7:00 a.m. and will end around 7:00 p.m. Variation of these hours is at the discretion of the attending physician and/or assigned resident. You shall not be required to work more than 12 hours per day unless your assigned duties have not been met, you have an emergency, or you are in the middle of a procedure or surgical case.

Your number of on-duty hours should not average less than 40 or more than 80 hours per week. Any additional hours spent on duty are on a voluntary basis only. If assigned night duty, you may work no more than 24 consecutive hours, which must be followed by a minimum of 12 consecutive hours off duty. You are to work no more than one night duty shift per week. If assigned night duty, you must be scheduled for a minimum of every other weekend off.

Didactic Presentations
Much of your training will come from clinical experience with patients, housestaff, and attendings. To supplement your clinical training, you are expected to participate in all didactics required by the preceptor/program. Morning conferences will vary according to the service you are on. Special lectures are offered in general to housestaff and students, but this is only on occasion. All students are welcome to attend CORE didactics on Wednesday afternoons. This includes student OMM on the first and third Wednesday of the month.

Professional Appearance/Student Identification
You are expected to wear a short clinical lab coat at all times while in the hospital. Your school ID as well as your Doctors Hospital ID badges will also be worn while on your rotation, displayed on either the pocket or the collar of your lab coat. Inappropriate attire includes, but is not limited to, wrinkled/unclean clothing, jeans, sweats, shorts, leggings or other casual attire. Your shoes should be clean and appropriate for your attire.

Scrubs are only permitted in surgery, special procedure areas, and obstetrics or when you are on night call. Surgical caps and shoe covers are required in sterile areas and in non-conductive areas. Due to strict OSHA requirements surgical caps, hoods, gowns, shoe covers and boots are not to be worn outside of the surgical and obstetrics area. You are not permitted to wear scrubs or other hospital assigned uniforms outside of the hospital.You will be responsible for returning all scrubs and other uniform attire to the proper receptacles.

Any deviation from the above conditions shall be at the discretion of the Doctors Hospital Department of Medical Education and/or your preceptor.