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Clinical Posting Report Group B1

The Clinical Posting Report outlines the orientation and initial days of clinical postings for medical students, highlighting key addresses from faculty on professionalism, ethics, and the structure of postings. Students were divided into two groups for rotations in Medicine and Surgery, with specific schedules and expectations set forth. Clinical observations included discussions on various patient cases, emphasizing the importance of medical knowledge and ethical considerations in practice.

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Adamu Ahmad
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55 views4 pages

Clinical Posting Report Group B1

The Clinical Posting Report outlines the orientation and initial days of clinical postings for medical students, highlighting key addresses from faculty on professionalism, ethics, and the structure of postings. Students were divided into two groups for rotations in Medicine and Surgery, with specific schedules and expectations set forth. Clinical observations included discussions on various patient cases, emphasizing the importance of medical knowledge and ethical considerations in practice.

Uploaded by

Adamu Ahmad
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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Clinical Posting Report

Day 1

Summary of Meeting and Orientation

The day began with an orientation meeting attended by key faculty members. The agenda included
addresses from the Provost, Dean of Clinical Sciences, Dean of Basic Clinical Sciences, Head of Medicine
(also representing the Head of Surgery), and the CHS Secretary. Key highlights from the meeting:

The Provost emphasized the importance of clinical years, self-directed learning, and professionalism in
patient interactions. He highlighted the modern challenge of informed patients who research symptoms
online, stressing the need for strong medical knowledge and ethical conduct.

The Dean of Clinical Sciences reinforced the faculty’s commitment to producing competent medical
doctors and outlined expectations for ethics, attendance, discipline, and proper appearance. He also
announced the distribution of logbooks, which will serve as attendance records.

The Dean of Basic Clinical Sciences (Dr. Augie) introduced the Global Competency Framework for
Medical Doctors and provided an overview of the 400 Level posting schedule, including medicine,
surgery, behavioral sciences, laboratory postings, and community medicine.

The Head of Medicine (also representing the Head of Surgery) explained the structure of the Medicine
and Surgery postings, the importance of ward rounds, and the necessity of professionalism. The class
was divided into two groups:

Group A: Medicine Posting (1st Month) → Surgery Posting (2nd Month)

Group B: Surgery Posting (1st Month) → Medicine Posting (2nd Month)


Each group was further subdivided into smaller rotations.

Medicine lectures: Mondays & Tuesdays; Surgery lectures: Wednesdays & Thursdays; Clinical meetings
on Fridays.

The College Secretary provided information on hostel accommodation and facility usage, along with
guidance on resolving any administrative issues.

Day 2

The second day of clinical posting began with an introductory lecture by the Head of the Surgery
Department at 8:30 AM, covering fundamental medical ethics such as Beneficence, Non-maleficence,
Justice, and Autonomy. Following this, he detailed the grouping for clinical postings:

Out of 53 students:

27 students (Group A) were assigned to Internal Medicine.

26 students (Group B) were assigned to Surgery, which was further subdivided into four specialized
subgroups:

 General Surgery
 Urology
 Pediatric Surgery
 Neurosurgery
After the lecture, which ended at 11:00 AM, students were introduced to their respective groups and
commenced their clinical postings immediately. Our group was assigned to General Surgery under the
guidance of Dr. Mikail, another consultant, and three resident doctors.

Clinical Rounds Observations:

Patient with Peritonitis (due to a Ruptured Appendix from Typhoid Disease):

The consultants and resident doctors engaged in a rigorous discussion and Q&A session to establish a
detailed history and confirm the diagnosis.

Patient with a Gunshot Injury:

The patient was under nursing care when we arrived.

We learned that surgery follows a regional approach, unlike medicine’s systemic approach.

The concepts of multiple injuries, polytraumatized injuries, and significant injuries were introduced.

Despite his deep gunshot injury, the patient was encouraged to walk to prevent muscle flaccidity.

The consultant noted that the case required plastic surgery intervention.

30-Year-Old Male with Appendicitis Complications:

We learned the distinction between simple and complicated appendicitis.

Types of complicated appendicitis (e.g., gangrenous appendicitis) were discussed.

Introduction to X-Lap (Exploratory Laparotomy).

Female General Outpatient Department (GOPD) Cases:

Patient with Complicated Appendicitis:

Examined by another medical officer, so we obtained limited information.


Patient with Swollen Belly, Anemia, Increased Unconjugated Bilirubin, Low Urobilinogen, and
Constipation:

The consultant suggested a likely diagnosis of chronic liver disease leading to gastric outlet obstruction
(GOO), explaining its link to constipation and anemia.

He elaborated on jaundice and bilirubin levels (0.8-1 mg/dL).

Noted that only a consultant can refer a patient to another department.

18-Year-Old Female with Intestinal Obstruction:

We were asked about the cardinal signs of intestinal obstruction, which the consultant explained.

Post-Rounds Discussion:

Dr. Mikail gave a brief introduction to General Surgery.

Recommended essential textbooks for further study.

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