Student Name _____________________ Preceptor _______________________Date __________
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“A patient who requires a…” |
Completed (√) |
Student’s Comments |
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Well Exam |
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Healthy Patient |
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Social determinants of health and wellness |
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Took a relevant history to explore patients social context |
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FLAMES – Food/ Family, Living, Abuse, Marital Status, Environment, Social Structure & relationships |
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Health Promotion/Disease Prevention |
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Screening (cancer, BP, cholesterol, lead, etc) |
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Immunizations – age appropriate |
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Counseling (physical activity, tobacco cessation, nutrition) |
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Skin/Muscles/Bones/Joints |
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Took a ROS/ history relevant to a complaint in this system(s) |
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Performed related exam |
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Pulmonary evaluation |
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Took a pulmonary history/ROS relevant to a patient’s complaint |
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Performed related exam |
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Cardiovascular evaluation |
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Took a cardiac history/ROS based on the patient’s complaint |
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Performed related exam |
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Gastrointestinal evaluation |
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Took a GI history/ROS based on patient’s complaints |
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Performed related exam |
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Renal/Genitourinary evaluation |
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Took a renal/GU history/ROS based on patient’s complaint |
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Performed related exam |
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Endocrine/Reproductive Health evaluation |
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Took an endocrine/repro history/ROS based on patient’s complaint |
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Performed related exam |
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Hematology/Oncology evaluation |
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Took a heme-onc history/ROS based on patient’s complaint |
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Performed related exam |
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Neurology |
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Took a neurologic history/ROS based on patient’s complaint |
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Performed related exam |
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Mental Health/Psychiatry |
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Took a psychiatric history/ROS based on patient’s complaint |
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Performed related exam |
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Directions to the Student for Completing the Patient Log
You have until the end of your OPEX assignment to see a patient in each of the systems listed above, and to do the counseling as noted. YOU are responsible for completing your patient log in OASIS and can update this information throughout your time in OPEX. The above tasks can be completed in any order. While you are encouraged to review your patient log with your preceptor, the completion of the online form is YOUR RESPONSIBILITY.