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Note: The following details were based from our rotation. If in doubt always ask the resident or consultant. -mdpabalinas

To the LO: Divide your block into four. Submit a list of members of each group during the orientation. The schedule is as follows: $eek 1 $eek & $eek ' $eek ) om!ed %roup 1 %roup & %roup ' %roup ) "mbu %roup & %roup 1 %roup ) %roup ' #ospice %roup ' ( ) %roup ' ( ) %roup 1 ( & %roup 1 ( &

For photocopying: om!ed 1. om!ed patient census *1 each+ &. $ork sheet D and , for S%D ' *1 each or print a copy yourselves kung gusto niyo type-written ang answers+ "mbu 1. "mbu attendance *1 each+ &. "mbu patient census *1 each+ '. "mbu daily activity report *) each. 1 for each duty. !ore copies may be needed kung naparami ang patients na dumating+ ). "mbu evaluation forms *) each. 1 for each duty+ #ospice 1. #ospice patient log *' each. 1 for O/D. $ard. and #ome 0isit respectively. !ore copies may be needed kung naparami ang na-refer sa service+ &. #ospice evaluation forms *' each. 1 for O/D. $ard. and #ome 0isit respectively General activities of the DFCM 1. ,vidence based medicine conferences every !onday and $ednesday. 1:22 "!. 0enue at the faculty office. 3ot much is e4pected from the clerks. !ost of the time we5re only an audience to the presentation of the interns. 6ust take note if there will be assignments to clerks given by the chief resident. "ssignments are usually literature search and /% review regarding the clinical dilemma. "ll are e4pected to attend e4cept for the group currently rotating at om!ed and those assigned for hospice home visit who are instructed to leave /%# early in the morning *otherwise they are also re7uired to attend+. &. Staff onference every Thursday. 1:22 "!. 0enue at ,8 . 9t5s still the same staff conference we used to attend during the 9 year. The fellow or consultants usually ask for the clerks comments or 7uestions regarding the case*s+ presented. *Aside from the regular attendance sheet or logbooks, pass around a sheet of paper for attendance during these conferences and ha e the resident clerk monitor !nung time namin si "r "alida# or the chief resident !"r $alma# to sign it. %ubmit it to the secretary, ma&am 'hla, afterwards. Contact numbers of coordinators om!ed Dr Delen dela /a: ; 2<11 =11 '&<= Dr #ari #amoy ; 2<&& =)' 1)> Dr #arvey arpio ; 2<&& ='& 1&&< "mbu Dr !ichelle Dalida ; 2<&& >>= ?<') #ospice Dr $eng Samares ; 2<&& =21 11'=

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ComMed The om!ed rotation is at !alibay health center. linic hours start at =:22 "!. @ou can get there by riding the L8T to ,DS". and then ride a Aeepney to !alibay. Tell the driver to drop you at the covered court B!alibay /la:a. "t the back of the overed court is the health center. 9f you have a private car or prefer a ta4i. drive through ,DS. turn right at the road after the /hil Tranco terminal Aust before 6olibee. "head that road is the !alibay covered court. "ctivities 1. linic work. On your first day introduce yourselves to the clinic staff. #ere we5re e4pected to see patient and chart them. @ou must wait for the om!ed consultant *Dr dela /a:a. Dr #amoy. or Dr ,speros+ before you can see patients. a. #9TS. The !alibay health center uses the ommunity #ealth 9nformation Tracking System or #9TS. " laptop is needed to access their system. 9t is advised to bring & to ' laptops per group. @ou5ll be oriented by Dr dela /a: on your first day on how to use this. The clinic physician will also ask you to register your account in their network before you can use their system. 9f you want. you can try the demonstrationBpractice #9TS at http:BBdemo&212.chits.phBinfoBinde4.php. Ce advised. always save your data before you move to the ne4t section of your patient record in #9TS. &. 0accination. #alf of the om!ed group will administer vaccinations to children and pregnant patients. "sk ate Lu:. the clinic nurse. to orient you on how they administer vaccines. They have their own guide regarding the site of inAection and how to record them on the patient5s vaccination stub. '. #"/ activity. This is a mini-duty with the mobile clinic of the hild#ope "sia /hilippines. The group will be given patientDsE to interview and e4amine. "fterwards make a #"/ case analysis for the patient. This activity is either on a $ednesday or Friday. The block LO should get an update from Dr arpio about the week5s schedule and on what day the om!ed group will Aoin the mobile clinic. Dr arpio usually meets the group in the afternoon at the /%# lobby. Ce prepared to go home late in the afternoon since some areas are far from school. ). S%D5s. There will be ' S%Ds for om!ed. S%D1 is about vulnerable groups which is usually incorporated with your om!ed orientation. S%D & is about 9! 9 and /TC with case-based 7uestions *see attached files+. 8eadings for this are the 9! 9 module from $#O and /TC guidelines by 3T/ *see attached files+. >. /atient satisfaction survey. There seems to be an ongoing study about the patient satisfaction survey in !alibay health center. Dr dela /a: will orient you on this. 8e7uirements 1. "ttendance. Sign the log book at "te Lu:5s office *treatment room+ &. /atient census. #ave your consultant sign your patient census every day. Only patient consults need to be logged. '. #"/ case analysis *email to: h(carpiomd)gmail.com# a. /art ": /ediatric history including #,"DSSS. /, *include neuro and psych e4amination if the child was or is involved in substance abuse+. Diagnosis. !anagement b. /art C: "namnesis. S 8,,! analysis. proposed solutions to the identified problems ). #"/ reflection paper >. $orksheet D and , *from S%D'+ ?. om!ed reflection paper *filename should be: nameGLH?. ie !D/abalinasGLH?. 'mail to lu*commed)gmail.com+ 1. D of pictures of activity for each group. %ubmit the +,A$ case analysis ia email one week after the +om-ed rotation to the email indicated abo e. %ubmit the patient census, +,A$ reflection paper, .orksheet " and ', +om-ed reflection paper, and +" of pictures at the end of the whole rotation.

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Ambu 9n the "mbularoty unit roation. each clerk will have ) duties. 12 hours each. Ce at you post if you are on duty. Otherwise. you are free. #owever. if there are class activities or department conferences. you are still re7uired to attend regardless of your duty status. "ssign which clerk is ". C. . or D. They were 7uite peculiar that we follow the 12 hour duty scheme. That means no swapping of schedules with other clerks. The schedule is as follows: Date !onda y Tuesda y $ednesda y Thrusda y Frida y Saturda y Sunda y

<:22 "! to 1:22 " C D " C D /! =:22 /! to ?:22 D( " C D C(" "! *+lerk A of the first group might not be able to attend to most of his or her duty hours because of the orientation and lectures. /ust make sure to ha e the attendance sheet signed and go to the Ambu unit after the orientation and lectures e en if you only ha e around two hours of duty left. "ctivities 1. linic work. hart patients decked to the "mbu unit. Do the vital signs first when a patient comes in. hart them like how we5re e4pected in Fam!ed O/D *chief complaint. patient profile. #/9. /!#4. F!#4. %enogram. /S#4. OCBmenstrual #4 if female. psych assessment if with a psychiatric patient. problem list. diagnostics. therapeutics. advise..+ Do blood e4traction. laboratory re7uests and prescriptions if needed. Depending on your resident. you might discuss the case first before you advise and discharge your patient. a. Log your patients at the "mbu log book before you discharge them. #ave them sign at the rightmost portion afterwards. &. /rocedures. ommon procedures done at the clinic are: 3ebuli:ation. change of foley catheter. blood pressure measurement. a. Log your procedures on a separate logbook and have the patient sign afterwards. 8e7uirements 1. /atient census *each item should be signed by the resident-on-duty+. &. "ttendance. Only those currently rotating at "mbu need to have their attendance sheet signed by a resident or consultant if they were on "mbu duty. attended conferences or lectures. '. 8eflection paper *guidelines are as follows+ a. !ust be in short bond paper. "rial 11. & to ' pages b. Do not use inappropriate. offensive. or sarcastic language c. %ive your first and lasting impressions about the rotation. #ow was this rotation different from the others that you had in the pastI d. $hat were you able to do well in this rotationI e. $hat were your difficultiesI f. Discuss briefly 1 o & clinical dilemmas you encountered and how you were able to resolve them. g. #ow did this rotation contribute to your career and personal developmentI h. #ow could the rotation be improvedI i. Other insights. reali:ations. and observations you want to share. A. @ou may do research on "mbulatory care and incorporate them in your insights. ite the articles used. ). "mbu evaluation form for each duty * total of ) + >. Daily activity report for each duty * total of ) + The patient census, attendance, and reflection paper should be submitted one week after the Ambu rotation. The Ambu e aluation form and "aily acti ity report are submitted to the resident-on-duty each time you are on duty at the Ambu clinic.

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Hospice The hospice fellows usually give the orientation for the two sub-groups on their first day of rotation. lerks are usually assigned in pairs to posts in the ward. cancer institute. O/D. munting paraiso. and home visit. @ou5ll have the schedule finali:ed during your orientation. The attendance for the hospice rotation is a logbook at the O/D clinic. "ll should sign it daily in the morning and afternoon. ,ach hospice team is composed of a fellow. resident. and one or two clerks. %et your patient decking schedule from your fellow and check the O/D logbook if a patient has been assigned to you. "ctivities 1. $ardB ancer 9nstitute. 9f you are assigned here. you5ll need to do a omplete "ssessment Form for your patient Dif newly referredE or progress notes Dif for follow-upE. The progress notes for ward and 9 patients are re7uired to be updated daily regardless of your post for that day. @ou might also need to make abstracts and discharge notes if your patient is admitted at the ancer 9nstitute. &. O/D. !ake a "F and SO"/ chart for the patient if he or she is newly referred. Otherwise. Aust make an SO"/ chart with focus to the previous and present problemDsE of the patient. @our fellow might discuss the case with you before the patient is sent home. '. !unting /araiso. This is a rotation in the /edia $ard of the ancer 9nstitute. @ou will select or be assigned to a child and their caregivers to do play therapy and do one of the ? modules for hospice patients. "fter doing the activity. fill up the activity form. The materials for play therapy. modules. and forms can be found at the O/D clinic. @ou will then have to ask your fellow or resident to have a processing of the activity. ). #ome 0isit. @ou will be part of a team with a fellow. resident. and nurses. @ou5ll visit patients and their families and do assessment and procedures Dif there are anyE. " home visit and a problem list form will be given to you to fill-up. ommon procedures are foley catheter replacement and bed sore care. @ou might also need to help in educating caregivers on certain procedures and give advice on medications. >. ase management presentation. 9f an interesting case has been assigned to you. you might be asked by your fellow to present the case. The format of the presentation is mostly derived from the "F. 8e7uirements 1. "F *number of forms to be filled depends on the number of patient the fellow will give you+ &. /rogress notes for patients assigned to you. '. S/# evaluation form *O/D. home visit. ward+ * total of ' + to be done by your assigned fellow. ). /atient census >. 8eflection paper The patient log and reflection paper should be submitted at the end of the whole rotation. "epending on your assigned fellow, the +A0 may be due 12 to 23 hours after the referral and the progress notes be submitted daily, or both of them be submitted at the end of the rotation. 4ou&ll need to ask the fellow since this is a case-to-case basis.