Core Checklist


  • A local orientation must be set up with local clerkship director and coordinator on first day to discuss structure of clerkship and expectations.
  • Other sessions that should be scheduled especially if student is not from the area:
    • Hospital orientation
    • OR/floor orientation
    • Clinic orientation

Contact Sheet

  • Students need a list of numbers to contact in case of an emergency or to check-in with preceptor/nurse, others, etc.
  • List should include clerkship director, local coordinator, physicians (emails, office phone, pagers), nurses, medical education office contact within hospital, practice plan manager, student’s information (cell, pager, email)


  • Assign students with appropriate number of preceptors.
    • Inpt—students should have at least 7 days of contact with preceptor
    • Outpt—student should have at least 3 half day clinics with preceptor
  • Students must make rounds one weekend day each week.
  • Required lectures—must be videoconferenced
    • It is optional for the students to attend Grand Rounds
    • Be sure to get the IP address or videobridge number to dial into sessions
  • Mid rotation feedback—student is responsible for completing this task but needs to be on the schedule and to check in to ensure it is completed and sent to the clerkship coordinator by email.
  • PxDX Requirements
    • PxDX — This is a system in E-Value that is used to log and track clinical encounters. Each student is required to have a minimum number of experiences or encounters with various patient chief complaints, as specified in each clerkship. Based on the clerkship, the encounters can be logged as verified or unverified.

      It is recommended that logs are entered daily. All encounters must be logged by the student before the end of the rotation in order to receive credit for the course. If the required number of encounters are not logged, the student may need remediation to pass the clerkship.

  • Local Activities
    • Obtain CME noon conference and residency program lecture schedules to schedule students in local talks being given.
    • Other useful sessions would be medical conferences sponsored by local community groups (i.e., Trauma Symposium, Oncology Conference, etc.).


  • Facility identification—some facilities require the students to wear the facility’s ID as well as the IUSM student ID; coordinate with appropriate office within facility on first day of rotation
  • Pagers—in some facilities the IUSM student issued pagers do not operate properly due to range issues. A test may need to be conducted with the IUSM student pager first; a local facility pager may need to be issued.
  • Understand access and compliance policies of all of the places the student will be rotating for clinics and OR.
    • Confidentiality statements—must be signed at all clinical locations
    • Computer access—students need login permission at all clinical locations
    • Medical records—all clinical locations will require evidence of current vaccinations and TB
    • Malpractice coverage—provide school’s malpractice coverage policy to all clinical locations
    • Scrub room access—some facilities require a key code or swipe card; students need to have these set up prior to starting the rotation.
  • Parking—students need access to the parking lots/garages; set up parking privileges prior to rotation
  • Meal tickets—student may be provided meal tickets for each day of the rotation if possible.

End of Rotation

  • Evaluations—Students
    • Students must complete IUSM clerkship and clinical teacher evaluations based on the amount of contact with the preceptors. Determine from the schedule or confirm with the student which preceptors the student should evaluate.
    • Complete the Clerkship Request Evaluation Form provided by UME (Judy Casper, listing each of the preceptors and the appropriate evaluation form that should be issued.
  • Evaluations—Preceptors
    • Send preceptor names to clerkship coordinator including email addresses to issue evaluations that the preceptors will complete on the student.


  • All materials prepared for students should be posted to clerkship course on Oncourse
  • A team should be created with the center’s name (i.e., South Bend) so that only those students assigned to that team can see the information

Faculty Appointments

  • Be sure to have new preceptors complete the Academic Personal Profile form and submit with a copy of their current CV.

Debrief with coordinator

Specific Clerkship Checklist



  • Required lectures—the clerkship has a required lecture series that must be scheduled; attendance is mandatory
  • Final Exam
    • IN student—may take back in Indianapolis or at center
    • Center student—need to obtain copy of exam from the clerkship coordinator and administer locally
  • CERTTS—Each student’s Neurology report must be faxed to the clerkship coordinator on the last day of the clerkship.
  • Call—Students call must be scheduled for 2 night calls on weekend or during week. Call must last at least 6 hours and after normal rounds.
  • Neurology Competency Requirements
    • Patient Communication Evaluations
    • Students must have 4 patient communication evaluation forms turned in by patients.
    • Collect all and send to clerkship coordinator at end of rotation.

Neurology Textbooks/Materials

  • The center either needs to order the textbooks or obtain from the Neurology Dept.
  • Texts are: Neurology Blueprints, 2nd Ed and High-Yield Neuroanatomy, 2nd Ed
  • The clerkship coordinator will mail a lecture packet of readings before the rotation begins.

End of Rotation

Evaluations (by Preceptors)—Neurology Students must have at least 2 evaluations completed by Neurology/Neurosurgeon faculty.



  • Assigning students—need to schedule time if possible in the following: L&D, OB Clinic, Gyne clinic, Gyne surgery, Gyne oncology, MFM clinic
  • Required lectures—there is no required lecture series for the OB/GYN clerkship; some podcasts are available on Oncourse.
  • OBGYN NBME Shelf Exam—All students must take exam in Indianapolis and attend the debriefing session and/or take the end-of-rotation OSCE.
  • The self feedback form and the preceptor form must be completed and submitted 48 hours before the feedback session with the Clerkship Director.
  • A mid rotation feedback session must be scheduled with the Clerkship Director either in person or via polycom.
  • Call—students must be scheduled for 4 calls during the rotation.



  • Required lectures—PBL sessions every Monday and Friday at 6:30 a.m. (or if the clerkship director has been trained locally, they may be conducted locally at time and date most convenient) and Ethics Seminar
  • Surgery NBME Shelf Exam
    • IN student—may take back in Indianapolis or at center
    • Center student—need to order and administer locally
  • Other Requirements
    • H&P write-ups—1 must be submitted by email/E-Value to clerkship coordinator
    • Journal entries—2 must be submitted by email/E-Value to clerkship coordinator
    • TPN Session

End of Rotations

If the local clerkship director/preceptor conducted the PBL sessions, that individual will need to complete the Level 2 Problem Solving evaluation on each student.