Chart Rounds Verification Form 1

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Chart Rounds Verification Form*

6/10/2015

Date: _________________________

23

How many cases were discussed? ________________________________

What is one thing you learned during chart rounds?


This was one of the first few chart rounds I attended. I didn't know what chart rounds
really were at this point. I learned what they were in general. Doctors meet and
discuss their treatment plans. Other doctors give their input if they disagree. Staging
and pathology are talked about. I also didn't know how many doctors were involved.
It's just the three rad oncs that are in our group.

What is one thing you already knew that was discussed at chart rounds
I knew most of the cases Dr. Lucas was discussing because I was treating those
patients currently.

Digitally signed by Alysia Bang


Alysia
Bang
Date: 2015.11.19 09:14:59 -07'00'
Student Signature: ______________________________________________________________

*Form to be filled out and uploaded into your efolio to document up to 3 CE credits (1 credit per
form) for attending chart rounds at your site. You do NOT have to fill out this form for every
chart rounds you attend; only do so if you plan to use a chart rounds meeting towards the 12 CE
credits you must obtain througout your 9 months of clinical training.

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