Each clerkship rotation is a show in need of nothing more but your best performance!

To prep you up for your best performance yet, here are

some awesome tips from previous lead actors and actresses (your co-JIs)! Have a great run!

Reminders:
1. This guide does not exist. Never show this to anyone except our batchmates.
2. We can never run out of tips! Make sure that after using this guide, you’ll add some more ‘hacks’ for the next rotators! (That’s
why it’s in Word format and not in PDF)
3. Always fill this out with the intention of helping out the next rotators. Answer the guide completely and in detail.
4. All your groupmates should have input!  Try to extract all their ideas to create a fun yet comprehensive guide.
5. Please do not edit the headings but you can edit the sub-headings if they do not apply to your rotation. (e.g. there are no PRE-
DUTY, DUTY and POST-DUTY INTERNS on some rotations). You can also create sub-headings of your own. Use -, ●, or ○
as bullets.
6. Use the font ‘Helvetica’, size 10, 0.5x0.5 margin, 1’’ spacing. Don’t forget to edit the FOOTER. :)
7. Upload this guide in .docx format at our FB group with the file name ‘JI Hacks – HOSPITAL AFFILIATION + ROTATION’
(e.g. JI Hacks – RLMMC OPD). Always upload it as a revision to the previous guide.

NOW SHOWING: PSYCHIATRY ROTATION

I. GET TO KNOW THE SHOW!

Overview of the rotation (A brief preview of a day in the rotation)

Psychiatry Rotation = paperworks = lots of patient interaction hence lots of patience and good communication skills are required.
There are times when you don’t have anything to do so take those times to finish doing your reports, your drug index, reading your
patient’s database and interacting with the other patients.

You also get to eat out and do rest & relaxation after your hospital duties. So you can bond more and get to know more your group
mates. Basta time management skills and willingness to bond lang ang kailangan mag-eenjoy kayo. Both for hospital and non-hospital
related ganap 

We suggest using the Grab app, para di hassle yung pagpunta sa hospital and kung san man kayo pupunta pero syempre depende pa
din yun sa place kung san kayo mag-stay. For our group, nag SM Grass Residences kami. 2 groups kaming naghati tas one month
contract sya. The place was nice naman plus the view nakaka-relax and the amenties tsaka security ng place. So as early as now, you
might want to start looking for a place na and reserve it kung anong month kayo magstay kasi mahirap yung days or a week before pa
lang kayo mag-aasikaso. Plus hanap kayo nung fully furnished na para damit at laptops na lang kailangan dalhin.

Always be respectful, on time, and responsible kung anuman ipagawa sayo. Be sure to finish it on time. Dala pa din natin ang name ng
school so do your best. Wala naman kami na-feel na discrimantion or anything so ayun, wag matakot or ma-intimidate. Enjoy ang
rotation 

Schedule:
 Weekdays: 8 am – 5 pm
 Weekends: 8 am – 12 nn, duty status is still 8 am to 8 am then 12 nn

MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY SUNDAY

Monday Circle Therapeutic Conference (TheraCon) OPD OPD
OPD Socializations Socializations
Socializations

OPD (8:30-11:30) (1:30-3:30)

- no lunch break, decking
- interview using SOAP format then for the O part, MSE accordingly, prescribe, get the resident’s signature then endorse it to the
patient

Stay behaviorally manageable batchmates! Kaya natin to 

JI HACKS: An Unofficial Guide to Surviving Clinical Clerkship! Page 1 of 6

PSYCHIATRY| Veterans’ Memorial Medical Center
PROPERTY OF AUFSOM Batch 2017
V3.2 s2015-2016
 II. COSTUME and PROPS
What to bring or wear during the rotation

Costume:

1) Courtesy call: scrub suit and pants, school shirt and jeans, uniform, or basta anything presentable, pwede naman. No shorts, tank
tops.

2) Always come in your complete uniform, white shoes, nameplate tas look presentable palagi kahit pre, duty, at from ka pa. Observant
din yung patients dun tsaka syempre dun sa mga residents and staff, plus may ibang school kayo na kasama; MCU and an intern
usually.

3) For the duty status, you may wear scrub suits after 8 pm pag weekdays, then after 5 pm pag weekends. Make sure to change into
your white uniforms before 8 am the next day.

Props:

1. BP App
2. stethoscope
3. thermometer
4. pulse oximeter
5. watch
6. pen and paper – for recording ng vital signs (5 am and 5 pm by the duty group), take down ng psych notes pag nasa ER, or notes
pag may admission since ikaw gagawa ng database hence anamnesis.
7. laptop – since madaming paperworks, depende kung toxic kang ka-duty or not :P
8. Papers (Long bond paper, A4) eto yung usual na ginagamit, madalas maubos yung long kasi yun yung gamit for daily outputs
Long bond paper = daily census, 24 hour duty report
A4 = database updates, weekly census, drug index, MMSE, Emergency Ward Referrals, ER call
9. printer (merong provided printer pero hassle ayusin at gamitin so might as well bring your own sa group para iwas stress at hassle
unless you can fix theirs. It will be your responsibility na ipaayos at palitan yung ink kung gagamitin yung printer nila dun)
10. snacks and prizes (for the Socializations)
SNACKS: Bawal ang may caffeine (chocolate, tea, softdrinks) na food and drinks, pati yung super tamis.
PRIZES: Toiletries usually. SOAP > shampoo > toothpaste (in sachet) in order of preference nila.
11. Movies – especially for benign duties, kasi wala ka talagang gagawin kung matapos na lahat ng paperworks and kung wala
talagang ganap sa ER at sa mismong ward 5, at kung close wards na din, at walang pinapagawa ang mga residente.
12. food/snacks especially for the from duty, ipagbaon nyo sila ng breakfast, that would mean a lot  plus coffee kung theracon,
mahirap mag stay awake til 2-3 pm kung puyat talaga haha

III. WHERE TO'S

Places you need to know (clinics, CRs, canteens, labs)

To follow yung map 

IV. CUE CARDS

Infos you should never forget/ what to put on your tickler/notes

OPD/ Progress notes/ 24hour Duty Report/ psych notes/ ER call/ Emergency Ward referral/ Admission/ Discharge
SOAP format
S – subjective complains, sleep, appetite, ADLs, compliance to medication, relationship in the family, stressors
O – MSE format: (Review Kaplan about MSE)
Appearance
Motor and behavior
Mood and affect
Attitude towards interviewer
Speech
Perceptual disturbances
Thought content – verbatim, suicidal thoughts, thoughts to harm others, basta anong nasa isip nya
Thought process – linear, goal-oriented, circumstantial, tangential, word salad, loose associations, flight of ideas
Tests for cognition (MMSE) orientation, calculation, memory, fund of knowledge, judgment, abstract thinking
Impulse control
Insight level

JI HACKS: An Unofficial Guide to Surviving Clinical Clerkship! Page 2 of 6

ROTATION| Hospital/Institution
PROPERTY OF AUFSOM Batch 2017
V1.0 s2016-2017
A – assessment NOT the diagnosis (i.e. behaviorally manageable)
P – Continue med, write the meds, dosage tapos signa, low fat low salt diet etc…

This is the general format for whatever you do sa Psych.

for OPD, usually what you write in here (dun sa P), yun yung nilalagay sa prescription pad (One medication per prescription)

Name ng drugs, dosage, signa, then don’t forget how many you will dispense, usually good for one month sila except for
benzos (diazepam, alprazolam, clonazepam) do prescription in triplicates and then, ask resident how many to dispense, then
pa-sign with an s2 license resident, usually si Doc Franz yun.

After the interview, you do the prescription first, endorse it to the resident in charge of the patient, let them sign, and then endorse it sa
patient, papuntahin sila sa nurse station para magpa-encode and then do the written report of that patient in SOAP format sa chart nila.
Ayaw nila doc na papaghintayin yung mga patients nang matagal kasi ung iba sa kanila galing pa sa malalyong provinces. Kaya
unahin na muna yung mga reseta nila bago magsulat sa chart. After which, put your name at the end of the write-up, sign it, and let the
resident sign din.

V. THE CO-ACTORS/ACTRESSES
Tips about the people you will meet

1. DOCTORS:

HEAD: Dr. Felicitas A. Soriano (FAS)

 she looks intimidating, pag nasa TheraCon sya, prepare your self

Consultants:
Training Officer: Dr. A.A. Alineo (AAA)
 benign, cool, pero pag TheraCon, make sure to answer his questions accordingly
Dr. Rifareal
 benign, laging naka-smile, again, pag may tinanong sa TheraCon, make sure to answer her questions
accordingly
Dr. Oliver
 di sya sumasama sa TheraCon but greet her whenever she’s there

Residents:
Dr. Ellaine R. Romano (ERR) - Chief Resident
 woman of few words, kaya wag mo na hintayin na pagsabihan pa kayo, kung may OPD, go out at harapin ang
patients, bawal mag-stay nang wala naman ginagawang urgent sa quarters kung madaming patients sa labas na
naghihintay

 flat affect so pag napangiti mo sya very good ka at natuwa sya sayo
always awake even pag madaling araw
 check her notes on your patient’s chart, pag may nakalagay na revise, revise agad, pag may new order, i-carry out
agad
Dr. Fernando Zion A. Soriano (FZAS) – Clinical Clerks Coordinator
 Doc “Franz”, benign, magaling maglecture, may slipped disc so lagi sya nagpapahinga sa room, katok ka lang if you
need his signature. Pero ayun, since may karamdaman sya, di sya gaanong nag-eelaborate sa paperworks
Dr. Nina Kristy A. Osorio (NAO)

JI HACKS: An Unofficial Guide to Surviving Clinical Clerkship! Page 3 of 6

ROTATION| Hospital/Institution
PROPERTY OF AUFSOM Batch 2017
V1.0 s2016-2017
  Doc “Nikky”, toxic, strict sa paperworks kasi OC sya hehe pero she’s the best resident on duty kasi di din sya natutulog
agad, so pag may tanong ka about the paperworks, paturo ka sa kanya, she’s approachable and much willing to help.

Dr. Anna Noel

 Doc Ana, pero doc Noel na lang, lagi syang MIA, so kung ka-duty mo sya, morning na at deadline na, dun ka pa lang
mag-eedit ng paperworks.

2. NURSES: approachable and kind sila lahat 

Sir Ram – Activity Nurse
Sir Bernard
Sir Clarence
Ma’am Jo
Ma’am (chief nurse)

3. OTHER PERSONNEL:
Door keeper – just ring the bell ONCE, maiinis sila sayo pag ulit ulit mo i-press yung doorbell

VI. THE LEAD ACTOR/ACTRESS

The roles of a Clinical Clerk and some tips to survive each shift

1. PRE INTERN:
Kung OPD day, tumulong sa OPD. Bago gumawa ng progress note sa assigned patient.
Pag free na, tsaka lang gawin ang progress notes.
Sila din yung nag-aasikaso sa socializations o kaya sumasama sa morning walk every Wednesday.

2. DUTY INTERN:
Kung may OPD, sila yung maghahawak ng logbook at magsusulat dun, isa lang sa kanila.
Kung may ER call, admission after 5 pm or before 8 am the next day, sila yung admitting intern, tas depende sa color team on
deck, i-eendorse nila yung bagong patient sa magiging JI-in charge the next day.
Ward referral rounds, chart rounds, Emergency ward referrals, basta may ganun sila yung in charge dun pati sa paper work
Sila din usually yung nagsstay sa OPD pag may patients pa pero di naman lahat nagsstay usually 1 or 2 lang na duty pwede
na sa OPD tas pwedeng nasa socials din yung iba.

3. FROM INTERN:
Sila yung nagpapasa ng 24 hr duty report, daily census, nag-eendorse ng mga ganap at new orders sa mga duty. Kung
may in-admit sila at di sa kanilang color service yun, sila yung admitting intern pero i-eendorse nila yun sa color service on
deck para i-receive yung patient na yun.
Sila yung punong-abala sa socializations along with pre-duty interns o kaya sumasama sa morning walk every
Wednesday basta natapos na nila yung paperworks nila.

VII. AVOIDING PANDEMONIUM

JI HACKS: An Unofficial Guide to Surviving Clinical Clerkship! Page 4 of 6

ROTATION| Hospital/Institution
PROPERTY OF AUFSOM Batch 2017
V1.0 s2016-2017
 Possible errors and common mistakes clerks commit during the rotation and how to steer clear of them

Pag duty, isip na kayo where to order, tas ask nyo na lang mga residents if may ipapasabay silang food na gusto nila. Nagbabayad
naman sila sa food nila except for one. Hehehe. More on meat yung gusto nila. Avoid pastas, noodles, chapchae. Pero kung gusto nyo
pa din i-test kung totoong malas yun at sure toxic ang duty, please do so. Pati yung maroon na scrub suit, try nyo din 

For TheraCon, make sure to have read the database, drug index, and the progress notes of the patient. Make sure nagawa nyo lahat
yun, they can ask anything about your patient pati pala social status nung patient, kamusta sya sa bahay, san galing financial support,
may mag-aalaga ba sa kanya and stuff… pati drugs, dapat alam niyo din bakit yun yung drugs nya, anong indicatios for your patient.
Anong target symptoms upon admission, what was the initial plan and the current treatment, how was he doing now, was his target
symptoms resolving, kamusta sya with the other patients, or kung pwede na ba sya i-discharge, on what grounds, o kaya is the
admitting diagnosis, still the same? Mga ganun tas be sure to have read the DSM5 criteria for the patient’s condition, kasi yun yung
gagamiting basis if it still holds true, yung admitting diagnosis, or not anymore.

Read on treatment/medications best suited for pregnant with mental disorders. 2 patient kasi yung buntis, both bipolar ata sila. I’m sure
itatanong yun sa theraCon kasi yun yung bilin nila sa amin nung Tuesday.

For TheraCon, more focused sila sa NEW PATIENTS, yung mga bago namin ay sila Cruz, Dominguiano at Dilao. Pero yung mga nasa
treatment room din especially si Delos Reyes (with sexual assault risk, so dapat lalaki maghandle dito ganun din kay Granil, Alojado).

VIII. SCRIPTWRITING 101

Tips on filling out forms, charts, orders and other paper works. (Include photos of some of the important forms you fill out daily)

Daily census
 do chart rounds, check for new orders, lab results, changes in medications, ancillaries needed to be endorsed to the JIIC
 done by the Duty
long bond paper
 print a copy for the next duty, etong magiging guide nila plus yung soft copy, ipasa sa susunod na duty
 di to need sa theracon at Monday circle pero malaking tulong to sa pag-update ng lahat ng patients at pag natanong ka about them,
di siya pinapasa pero guide sya both ng residents at JIs

24-hr duty report

 focuses on the patients sa Treatment room
 duty status, patients nyo sila lahat pag kayo duty, endorse sa JIIC kung may special orders or kung may dapat gawin sa patient like
referral to OB ward, for CXR ganun, pag kailangan mag-draw ng specimen, usually yung duty din yung nagcacarry out
 some patients needs daily MMSE
 make sure to do MSE sa shift nyo, especially pag Fridays, Saturdays at Sundays. Eto kasi yung pinag-uusapan tuwing Monday
Circle bale ang laman nito ay MSE ng mga patients sa treatment ward plus MSE ng patients kung may ER call, Admission, E ward
referral ganun
 long bond paper
 kasama sa report yung admission, ER call, E ward referral at discharges
 make sure napirmahan to ng resident
 5 copies (2 sa secretary, isa sa resident, isa sa inyo for the next group, isa kay doc Osorio if i-require kayo, isa for JI compilation na
nasa long brown envelope) pero kapag Monday Circle, print additional 4 copies (Friday, Saturday at Sunday) para sa consultants

Ward Referral Census

 do chart rounds pero sa iba ibang department na ni-refer yung patient nila sa atin
 walkathon to, maghanda.
 prone kang maligaw hence humanap ng mapa 
 be courteous, baka masungitan kapag maingay or masyadong magaslaw
 guide lang din to pero very helpful
 long bond paper, 3 copies, isa sa residente, isa sa duty susunod, isa for compilation

Weekly census
 A4 bond paper
 tally lang kung ilan na patient for the whole week, ilan na-admit. Na-discharge, ward referrals etc
 pineprepare to ng mga Monday duty kasi kasali to sa TheraCon every Tuesday.

Therapeutic Conference
 dinidiscuss lahat ng patients pero nagsisismula sila sa mga pinakabago kasi they need to know the patient. Be sure to know the HPI
very well, reason for admission, interval history, current and past medications, possible strategy to manage the patient, social issues,
basically lahat ng tungkol sa patient, patie yung current status niya, current MSE ganyan. Know each patient’s (na naka-assign sayo)
target symptoms, and correlate mo sa MSE nila..
 bawal mag gadgets during conference. Patago na lang if may kailangan talaga isearch.
 prepare finger foods, or snacks matagal to form 8 am to 2/3 pm sya usually. Chips and cookies will do, usually si Dr. Alineo mahilig
sa chips and sa female consultants naman sweets or cookies. Kung may tea and coffee better lalo sa mga inaantok. NEVER serve the

JI HACKS: An Unofficial Guide to Surviving Clinical Clerkship! Page 5 of 6

ROTATION| Hospital/Institution
PROPERTY OF AUFSOM Batch 2017
V1.0 s2016-2017
doctors. Dapat andun na lahat sa table. Tas sila na lang bahala kung gusto nilang galawin o hindi. Make sure may food din kayo kasi
nakakagutom sya. Tsaka dapat i-check mo talaga patients mo kasi nahuhuli nila kung ginagawa mob a talaga yung progress notes o
hindi. Plus know the drug index of your patients and ung effect nila sa condition ng patient. Yung iba kasi may hypertension, may liver
problem, buntis, o kaya may sakit sa puso.
 no need to get anxious about TheraCon, basta do what you have and need to do beforehand, prepare yourself, and don’t tell a lie.

IX. LAST FULL SHOW

How to end the rotation gracefully (Tips on the grand rounds and the shifting exam)

Make sure to befriend them, both staffs and patients para di mahirapan na i-handle sila or makipag-communicate sa kanila.

We had pizzas nung nagpagrand rounds kami, so isip na lang din kayo ng ibang pakulo pag kayo na 

X. BONUS FEATURES
Interesting cases (include pics if you may) + stories you might want to share

JI HACKS: An Unofficial Guide to Surviving Clinical Clerkship! Page 6 of 6

ROTATION| Hospital/Institution
PROPERTY OF AUFSOM Batch 2017
V1.0 s2016-2017