Sub-I Medicine Clerkship Policy

  • The subintern will write admission and daily progress notes in EPIC.
  • Residents can now attest a student note; specific guidelines must be followed
    • The resident must directly observe and be present with the subintern performing their history and physical
      • In order to attest the admission note, the resident must be present when the subintern performs the admission history and physical
      • In order to attest daily progress notes, the resident must work round with the subintern, therefore being present for the daily history and physical
    • Use the following attestation: .resstudentattestinp (I was present with the medical student on {DATE PATIENT WAS SEEN BY ME} who participated in the documentation of the note.  I personally evaluated the patient, reviewed the student’s note and agree with the findings and plan as written
      • Residents should either edit the subintern’s note or write an addendum as necessary for accuracy
    • If the resident is not present and does not directly observe the subintern, the resident must write his/her own note
  • The subintern should take the lead with regard to performing the history and physical; the goal is not for the students to observe the residents!
  • Subinterns will be instructed to route all notes to their residents.
  • The resident is responsible for all coding queries and discharge summaries.
  • Attendings will be responsible for notes on resident days off.