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Ambulatory & Production Medicine - Course Procedures
 
While on Ambulatory & Production Medicine rotation, students will be expected to wear clean coveralls, and be equipped with a stethoscope, thermometer, hemostats, scissors, penlight, and washable boots. Students should to be on time and are graded on enthusiasm, preparedness to handle routine ambulatory calls, medical and surgical knowledge, manual skills, as well as general farm knowledge and communication skills. Grades are assigned weekly by the clinician with whom the student spent the majority of time, and include input from other clinicians with whom the student rode. Students will see a variety of methods, but should have a basic knowledge of select techniques. The student is also expected to aid the clinician with the maintenance of equipment and drug inventories of the ambulatory vehicle.

All Ambulatory & Production Medicine personnel, including students, are invited to private local farms to provide a service. Please be respectful of the client's property and privacy, and attend to calls with a high degree of professionalism. Students are expected to stay with the clinician and not wander on the premises.

Students will be assigned individually or with one or two other students to ride with faculty, interns, or residents. Clinicians and students normally meet for calls in the morning in the Ambulatory student room, C2608. Unless otherwise directed, students should arrive no later than 8:00 AM; this provides coverage for morning emergency calls. The student orientation begins around 8:15 AM on the first day of rotation. An assigned clinician provides information on schedules and duties and the Ambulatory technician, Michelle Stefanski-Seymour (253-3144) provides a tour of the pharmacy. Clinician assignments and emergency schedules are posted in the meeting room and on the web by the Friday before the start of the two-week rotation. This schedule is subject to occasional change.

After the first day of rotation, students should discuss departure times and other daily scheduling issues with the clinicians to whom they are assigned for the week. Clinicians return to the college from calls at variable times, but are usually finished on weekdays between 3:00 and 8:00 PM, and at noon on Saturday. Most students bring lunch on weekdays. Two students per week will have regular clinical duty Saturday mornings. The person assigned to night or weekday emergency duty should pick up the pager from the rounds room before leaving for the day and return it at 8:00 AM the next day. When on-call with the pager, the student is expected to be able to reach a phone to return the page within 5 minutes.

Notify Carol Smith, the department administrative assistant (253-3140), prior to absences due to illness or emergencies whenever possible. Days off rotation for job interviews, professional meetings or other educational opportunities can often be accommodated, but must be approved by the Section Chief in advance, and the missed days need to be made up at another time. Time to be missed near the end of fourth year should be made up in advance, so rotation requirements can be completed before graduation. Please inform Carol Smith immediately of all approved absences and trades in emergency duty or daily assignments so schedules may be updated.

Attendance is required at rounds sessions on Wednesday and Friday 8:00-9:00 AM, except for students on early farm calls or emergencies. Participation in the parasitology laboratory Tuesday and Thursday 8:00-9:00 AM is strongly encouraged. Computers are available for student use in the computer lab, unless the room is occupied by scheduled classes. DO NOT change the set-up or install any software on these computers. The phone available for student use is in the rounds room and the phone number is 253-3143; brief calls are appreciated.