Patient logs?

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Elipsis

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For other neurology residents: Are any of you required by your program to log patients you've seen in residency?

My program has been asking us to do this saying that it's a GME requirement and that hospital groups and practices want logs of patients seen in residency to hire someone. From talking to residents in other fields at this hospital and people at other neurology programs it doesn't seem like this is accurate. Just wondering if this really is universal or if anyone has been asked to provided patient logs during the hiring process.
 
Every patient? Or procedures? We don't log in individual patients seen in clinic, consult or inpatient.


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Nah. It makes some sense to log procedures for future credentialling, and maybe tPA cases or similar low-frequency high-impact cases. But I don't see why anyone would want to know how many routine stroke admissions you've done, or headache consults in the ED. Part of graduating from residency is that there should be a tacit assumption that you've gotten decent exposure to those routine things.
 
tPA pushes are low frequency? I lost track of the number of times I had pushed a few months into PGY-2 year.

But as for the question, no we don't. As a medicine intern we had procedure logs but in neurology we don't do that.
 
You have a greater amount of case exposure in PGY2 year than you ever will again. You won't be thrombolysing patients from your outpatient memory disorders elective during your PGY3 year. So yes, you should log those tPA cases for when you want to become a hospitalist and the chief would prefer someone with stroke fellowship and you can say, "hey no big deal, I gave 80 patients tPA during residency". Hopefully you even had some supervision for those so you actually learned something.

And no one should argue that tPA dosing for stroke is a high frequency event. Academic centers see a skewed population, and high volume, and have better systems in place to treat eligible patients. Thrombolysis remains woefully under-accessed in the USA.

https://www.ncbi.nlm.nih.gov/pubmed/27629092
 
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