Patient Log
Medicine Core Clerkship
Second Quarter 2000-2001, Period II
Student ______________________________ Dates 10/23/00 - 11/19/00
Hospital ______________________________ Service _________________
Patient H&P Write-Ups Submitted to Attending (6 required)
Patient Name Hospital Number Diagnosis Attending
1. __________________________________________________________________________
2. __________________________________________________________________________
3. __________________________________________________________________________
4. __________________________________________________________________________
5. __________________________________________________________________________
6. __________________________________________________________________________
7. __________________________________________________________________________
8. __________________________________________________________________________
Other Patients Followed (6 required)
PatientName / Hospital Number / Diagnosis / Attending or Resident
1._______________________________________________________________________________
2._______________________________________________________________________________
3._______________________________________________________________________________
4._______________________________________________________________________________
5._______________________________________________________________________________
6._______________________________________________________________________________
7._______________________________________________________________________________
8._______________________________________________________________________________
This form must be completed and turned in to your Chief Resident at the feedback session scheduled
for the end of each hospital rotation.
A satisfactorily completed form for each of the three hospital rotations (Periods I, II and III)
must be received by December 16, 2000. Failure to comply will result
in a reduced grade in Medicine.
©1995-00 Baylor College of Medicine
Contact: Mark M. Udden, M.D. (udden@bcm.tmc.edu)
URL: http://www.bcm.tmc.edu/medicine/coreclerk/content_07a.html (Modified: Sept-26-2000)
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