Physician Interaction

You can print off this page and email the completed documentation to me at kcummins@southeast.edu.  This is an OPTIONAL activity which does count toward your clinical hours.

Phyician’s Clinic Summary

Student: ______________________________                      Date:  __________ Hours: __________

Location of activity: _______________________________________________________

Which of the following did you observe?

•        Initial exam ~ Identify patient’s primary complaint:

•        Post first night PSG follow-up appointment

•        Post PAP titration follow-up appointment

•        MSLT or MWT follow-up appointment

•        Insomnia consultation

•        Parasomnia consultation          Movement disorder consultation

What types of assessments were performed?

What are 5 take away points from this experience?

1.

2.

3.

4.

5.

Describe the professional behaviors you observed: