Year Two Clinical Encounter Logbook

Name: Date:
Patient: Age:          Gender: Setting:  

Mentor:

Hours:

Unit:

Diagnosis 1:
Organ System
Diagnosis 1
Diagnosis 2:
Organ System
Diagnosis 2
Diagnosis 3:
Organ System
Diagnosis 3
Procedure:
(to select more than one item, click on
 each item while holding down the
 <control> key)
Procedure Role:
Problem List:
Comments:

    


Problems with any entries?  Contact Jean Afflerbach

Revised: August 14, 2013