VCOM College Catalog and Student Handbook

Expectations of Medical Students a. Assume responsibility for and perform their assigned duties in conformance with the rules and regulations of the clinical clerkship training site and VCOM. b. Maintain professional behavior standards with the supervising faculty physician, other members of the medical team, including resident physicians, other health professionals, staff members, patients, and any other individuals encountered in the clinical setting. c. Recognize when one’s ability to function effectively is compromised and ask for relief or help. d. Recognize the limits of student involvement in the medical care of a patient and seek supervision or advice before acting when necessary. e. Admit errors and not knowingly mislead others to promote oneself at the expense of the patient. f. Admit errors and not knowingly mislead others to promote oneself at the expense of the patient. g. Inform patients and/or family members of their status as a medical student and the name of the supervising faculty physician under whom they are working. h. Shall not participate in any aspect of the healthcare of other VCOM students, including observation, regardless of whether the student patient gives consent or not. It is the responsibility of the student who is on rotation or shadowing in the clinical setting to notify the treating physician of the presence of a VCOM student patient (if identified) and to remove themselves from the room and from all aspects of their healthcare. i. Wear their VCOM white coat and ID badge in all VCOM designated clinical settings and to designated and approved VCOM events. j. Proactively inform the supervising faculty physician or Director for Student Medical Education of concerns about excessive or substandard levels of supervision. k. Perform procedures with the supervision of the licensed medical provider. 1. The Department of Health and Human Services via the Centers for Medicare and Medicaid Services and many states require that medical providers obtain informed consent from patients prior to performing sensitive examinations, particularly on patients under anesthesia. VCOM students participating in clinical training shall not perform a sensitive examination, including but not limited to, breast, pelvic, prostate, and rectal examination, as well as others specified under state law, on an anesthetized or unconscious patient unless the patient or authorized agent gives informed consent to such examination, the performance of such examination is within the scope of care ordered for the patient, or in the case of a patient incapable of giving informed consent, the examination is necessary for diagnosis or treatment of such patient. l. Enter notes within the Electronic Medical Record for educational purposes, if cleared by the rotation site and supervising physician. The student must sign and date all entries on the medical record by name and education status (e.g. John Doe, OMS 3). The student notes must be reviewed and signed off by the clinical preceptor. Students will not enter patient charts if they are not assigned to their medical team. At no time do student notes serve as the attending physician’s notes. Billing must be directly related to the attending physician’s notes. Some sites have separate pages in charts set aside for "Student Progress Notes.” These should also be reviewed and co-signed by the attending physician. 1. Medical Records that are falsified or that are left uncompleted when it is the responsibility of the student to complete, are considered a professional/ethical violation and the student will be subject to the policies and procedures in the student handbook that apply to the violation. m. Shall not order any examinations, tests, medications, or procedures, or write any patient care orders without consulting and obtaining the authorization of the supervising faculty physician. 1. Shall only write prescriptions as an educational activity.

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