Year Two Clinical Encounter Logbook
Name:
*Select Name
Adams, Mark
Ade, Rachel
Allensworth, Sumer
Allison, Tyler
Avery, Katherine
Avila, Amber
Barrientos, Earl
Berjohn, Catherine
Brooks, Justin
Bulkley, Andrea
Carter, Danielle
Cheema, Asmaa
Crowner, Jason
DeLuka, Jennifer
Deschler, Deanna
Diaz, Teresa
Doolittle, Othniel
Durkin, Rebecca
Dye, Lonnie
Echeazu, Chinelo
Eichinger, Kathleen
Falcon, Sarah
Fischer, Justin
Forte, Kimberly
Fraser, Idelle
Georger, Keith
Gray, Heather
Hauslein, David
Henry, Justin
Hill, Stephen
Houghton, Adam
Huff, Alison
Hulsen, John
James, Laura
Jameson, Travis
Jeisy, Richard
Johnson, Victoria
Kaufman, Robert
King, Adam
Kohaus, Ashley
Kotal, Eric
Krohe, Mark
Latifi, Mani
Laughlin, Heath
Lawrance, Christopher
Lindorfer, Christi
Lockhart, Kerri
Lynch, Erin
Milburn, Suzanne
Moja, Ashley
Morton, Kaitlin
Paulauskis, Gina
Pham, Quoc
Reidy, Michael
Roth, Valerie
Sanford, Tifani
Shirazi, Jonathan
Siatos, Kristen
Spence, Tisha
Spencer, Drew
Stanga, Angela
Stanton, George
Starwalt, Ashley
Turner, Joshua
Vohra, Sameer
Wallace, Adam
Walsh, Katie
Waters, Kristine
Waymack, James
Whitehurst, Brandt
Woods, Kendra
Woods, Teschlyn
zzTest
Date:
Patient:
Age
:
Race:
Select One
African-American
Asian
Caucasian
Hispanic
Mixed
Native American
Other
Gender:
Male
Female
Setting:
Doctoring Mentor Experience
Unit-Related Clinical Experience
Hours:
Diagnosis 1:
Organ System
- None selected -
Cardiovascular
Endocrine
Genitourinary/Repro/Renal
GI
HEENT
Hematopoetic
Musculoskeletal
Lymphatic
Neurology
Psychiatry
Respiratory
Skin
Other
Diagnosis 1
- None selected -
Diagnosis 2:
Organ System
- None selected -
Cardiovascular
Endocrine
Genitourinary/Repro/Renal
GI
HEENT
Hematopoetic
Musculoskeletal
Lymphatic
Neurology
Psychiatry
Respiratory
Skin
Other
Diagnosis 2
- None selected -
Diagnosis 3:
Organ System
- None selected -
Cardiovascular
Endocrine
Genitourinary/Repro/Renal
GI
HEENT
Hematopoetic
Musculoskeletal
Lymphatic
Neurology
Psychiatry
Respiratory
Skin
Other
Diagnosis 3
- None selected -
Procedure:
(to select more than one item, click on
each item while holding down the
<control> key)
*None
*Other
Arterial Puncture
Bladder Catheterization
Bone Marrow
CPR
History and Physical
ID Injection
IM Injection
IV Start
Joint relocation
Lumbar Puncture
NG Intubation
Paracentesis
Proctoscopy
Stool Guaiac
Suturing
Thoracentesis
Tonometry Exam
Urinalysis
Venipuncture
Procedure Role:
*None
Observed
Assisted
Performed
Clinical Summary/ Significant Findings:
Problem List:
Jean Afflerbach
, Web Master
Copyright © 2008, Board of Trustees, Southern Illinois University. All rights reserved.
Revised: March 24, 2008