A practical digital ebook for medical students who manage multiple assigned patients before rounds and need a clearer way to track overnight changes, responsibilities, follow-up needs, and questions for later review. The Patient Ownership Grid helps you separate what requires action now from what belongs in your learning queue, so you can prepare with less mental clutter and communicate what is still pending. You will learn how to audit fragmentation, assign visible ownership, loop through pre-round preparation, prioritize time-sensitive work, and close open items across five clinical days. The guide includes actionable frameworks and digital-friendly worksheets you can adapt to your service, including the Patient Ownership Grid, traffic-light prioritization, pending-item language, and a closure process. Work through Fragmentation Before Rounds, Who Owns What?, The Pre Rounds Loop, Traffic Lights for Time Sensitive Work, Action and Learning Are Not the Same Queue, Say What Is Pending, and Five Clinical Days of Closure. Designed for educational and organizational use, always follow your institution’s confidentiality requirements, team instructions, supervision, and patient-care policies.