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
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.
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
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.
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.
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
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.