M3 Midterm Conference

Name______Term______

Date:

Rotation 1:

Experience?

Evaluations reviewed from:

Rotation 2:

One45 Logs:

New Patient Log______Clinic Log______

Procedure Log______

If not complete, student counseled to complete______

Abd Exam Checked Off_____ Mid-Rotation 1 Feedback_____

Surgery Requirements reviewed (to right)______

# IVs? Foleys? NGTs?

Discussed following ways to get in missing skills and procedures:

___Current Anesthesia week ___Trauma Call (___left) ___Observe in OR on next month

Studying?

Comments:

Operations/Surgical Procedures
(You scrubbed or observed in OR) / Site
Acute abdominal pain surgery
Breast biopsy or surgery
Chest or abdominal trauma surgery
Endoscopy (upper or lower) or bronch
Gastroesophageal surgery
Hepatobiliary surgery
Hernia repair (ventral, inguinal, other)
Perianal Surgery
Small or large bowel surgery (non-trauma)
Skin lesion excision or incision/drainage
Encounter
(You took care of pt outside of OR) / Site
Cancer
Complication of surgery
Observe injury/surgical disease prevention
Observe informed consent
Trauma resuscitation
Clinical Skill / Done
Abdominal exam under supervision
Write operative note
Write preoperative eval – female
Write preoperative eval – male
Trauma H&P (may be “shadow”)
Write routine admission orders (may be “shadow”)
Write routine postoperative orders (may be “shadow”)
Write or dictate a clinic note

From: Barbara Pettitt, MD, Emory University Dept. of Surgery, Atlanta, GA