The Outpatient Experience
The fellow functions in two types of outpatient clinic settings - private practice and hospital-based clinics.
The Fellows see and evaluate all patients in the attending surgeons’ private practices. The Fellow presents each patient to the attending surgeon, including history and examination, diagnosis, and proposed treatment plan. The Fellow is taught fundamental office procedures such as injections, cast applications, reductions, dressing & wound care. The Fellow participates in the education of the Residents and Medical Students who are also present in the private outpatient clinic.
Barnes-Jewish Hospital has an adult hand clinic that meets weekly, on Monday afternoon. In this setting the Fellows are the patients’ primary consultants. Patients seen in the hospital-based clinic, particularly those who are candidates for surgery, are reviewed with the attending physician. In this level setting, the level of supervision is also dependent upon the Fellow’s experience and demonstrated level of competence. Presentations of Hx, Px and radiograph and electrophysiologic findings are done on Monday morning rounds, both for education and quality control.
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